MRS. KRISTY MICHELE SHAW OT
NPI 1215990510
Occupational Therapist in Valdosta, GA
About Mrs. Kristy Michele Shaw Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTY MICHELE SHAW OT (NPI 1215990510) is an individual occupational therapist in Valdosta, Georgia, licensed in Georgia (OT0003399) and active in the NPI registry since April 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kristy Michele Shaw Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristy Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristy Shaw's NPI number?
The NPI number for Kristy Shaw is 1215990510. It was assigned to this individual provider in the NPPES registry on April 8, 2006.
Where is Kristy Shaw located?
Kristy Shaw practices at 304 Emory St, Valdosta, GA 31602. The listed phone number is (229) 244-1667.
What is Kristy Shaw's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kristy Shaw enrolled in Medicare?
Yes. Kristy Shaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristy Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Shaw reassigns Medicare benefits to Azalea Rehab Services, LLC (Valdosta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristy Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristy Shaw was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.