AMANDA SHAW
NPI 1104653195
Physical Therapist in Pocahontas, AR

Active since September 16, 2024Accepts Medicare Assignment
2520 THOMASVILLE RD, POCAHONTAS, AR 72455(870) 248-1119 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Nov 4, 2025, Sep 16, 2024 (3 updates tracked since 2024).

About Amanda Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SHAW (NPI 1104653195) is an individual physical therapist in Pocahontas, Arkansas, licensed in Arkansas (PT5239) and active in the NPI registry since September 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1104653195
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMANDA SHAW
Location Address2520 THOMASVILLE RDPocahontas, AR 72455-1203
Mailing AddressPo Box 2398Mountain Home, AR 72654-2398 · (870) 701-5089 · Fax (870) 277-0896
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2024
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1104653195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AR · PT5239
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2520 THOMASVILLE RD, Pocahontas, AR 72455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Shaw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820589948
PECOS Enrollment IDI20260126000327

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
2520 THOMASVILLE RD
POCAHONTAS, AR 72455
Occupational Therapy Assistant
2520 THOMASVILLE RD
POCAHONTAS, AR 72455
Occupational Therapist
2520 THOMASVILLE RD
POCAHONTAS, AR 72455
Physical Therapy Assistant
2520 THOMASVILLE RD
POCAHONTAS, AR 72455
Physical Therapy Assistant
2520 THOMASVILLE RD
POCAHONTAS, AR 72455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Shaw's NPI number?

The NPI number for Amanda Shaw is 1104653195. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Amanda Shaw located?

Amanda Shaw practices at 2520 Thomasville Rd, Pocahontas, AR 72455. The listed phone number is (870) 248-1119.

What is Amanda Shaw's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Amanda Shaw enrolled in Medicare?

Yes. Amanda Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Shaw was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.