MRS. KRISTY MICHELE SHAW OT
NPI 1215990510
Occupational Therapist in Valdosta, GA

Active since April 08, 2006
304 EMORY ST, VALDOSTA, GA 31602(229) 244-1667(229) 244-8253 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2018, Apr 24, 2017 (2 updates tracked since 2017).

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

NPI1215990510
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KRISTY MICHELE SHAWCredential: OT
Location Address304 EMORY STValdosta, GA 31602-1808
Mailing Address304 Emory StValdosta, GA 31602-1808 · (229) 244-1667 · Fax (229) 244-8253
Fax(229) 244-8253
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateMarch 21, 20182 updates tracked since enumeration
✔ NPI 1215990510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in GA · OT0003399
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
304 EMORY ST, Valdosta, GA 31602

Other Identifiers 1

Medicaid00919465AGA

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.

Speech-Language Pathologist
2301 BEMISS RD
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.

Physical Therapist
304 EMORY ST
VALDOSTA, GA 31602
Occupational Therapist
304 EMORY ST
VALDOSTA, GA 31602

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.