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

MR. JERRY LEE SHAW PT
NPI 1336186717
Specialist/Technologist - Athletic Trainer in Opelika, AL

Active since June 02, 2006
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-3270 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. Jerry Lee Shaw Pt NPPES

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

MR. JERRY LEE SHAW PT (NPI 1336186717) is an individual athletic trainer provider in Opelika, Alabama, licensed in Alabama (96096) and active in the NPI registry since June 2006.Information from the official NPPES registry record, last updated July 13, 2026.

NPPES Registry Identity

NPI1336186717
Entity TypeIndividualMale
Provider Legal NameMR. JERRY LEE SHAWCredential: PT
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address1030 Gregory Glen RdOpelika, AL 36801-9417 · (334) 826-3353
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1336186717 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Specialist/Technologist · Athletic Trainer

Taxonomy 2255A2300X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in AL · 96096

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment,… Show more

Also Listed

Physical Therapist

Taxonomy 225100000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in AL · PTH2028
2000 PEPPERELL PKWY, Opelika, AL 36801

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
2000 PEPPERELL PKWY, RADIATION ONCOLOGY
OPELIKA, AL 36801
Orthopaedic Surgery
2000 PEPPERELL PKWY, BLD. 5
OPELIKA, AL 36801
Anesthesiology
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Nurse Anesthetist, Certified Registered
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Anesthesiology
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Anesthesiology
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Nurse Anesthetist, Certified Registered
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Nurse Anesthetist, Certified Registered
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Anesthesiology
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Anesthesiology
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Nurse Practitioner
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Personal Emergency Response Attendant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Emergency Medicine (Emergency Medical Services)
2000 PEPPERELL PKWY
OPELIKA, AL 36801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336186717, enumerated as an "individual" on June 02, 2006.

The provider is located at 2000 PEPPERELL PKWY OPELIKA, AL 36801 and the phone number is (334) 528-3270.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.