Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. GARY JOHN SHUTTLEWORTH
NPI 1184615940
Physical Therapist in Fredericktown, PA

Active since November 02, 2005
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333(724) 632-6801 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary John Shuttleworth NPPES

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

MR. GARY JOHN SHUTTLEWORTH (NPI 1184615940) is an individual physical therapist in Fredericktown, Pennsylvania, licensed in Pennsylvania (PT009691L) and active in the NPI registry since November 2005. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1184615940
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. GARY JOHN SHUTTLEWORTH
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1184615940 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 PA · PT009691L
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.
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333

Other Identifiers 1

Medicaid1676875PA

Accepted Insurance

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

Mr. Gary John Shuttleworth 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 ID8729237896
PECOS Enrollment IDI20121004000493

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%24 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Specialist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Counselor
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Social Worker (Clinical)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333

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 Gary Shuttleworth's NPI number?

The NPI number for Gary Shuttleworth is 1184615940. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Gary Shuttleworth located?

Gary Shuttleworth practices at 1070 Old National Pike, Fredericktown, PA 15333. The listed phone number is (724) 632-6801.

What is Gary Shuttleworth's specialty?

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

Is Gary Shuttleworth enrolled in Medicare?

Yes. Gary Shuttleworth 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.

What insurance does Gary Shuttleworth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gary Shuttleworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Shuttleworth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.