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KELLY SHAW DPT
NPI 1740431915
Physical Therapist - Geriatrics in Kingston, PA

Active since October 07, 2008
200 2ND AVE, KINGSTON, PA 18704(570) 288-9315 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Shaw Dpt NPPES

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

KELLY SHAW DPT (NPI 1740431915) is an individual geriatrics provider in Kingston, Pennsylvania, licensed in Pennsylvania (PT011691L) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1740431915
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameKELLY SHAWCredential: DPT
Location Address200 2ND AVEKingston, PA 18704-5722
Mailing Address200 2nd AveKingston, PA 18704-5722 · (570) 288-9315
Phone(570) 288-9315
Sole ProprietorNo
Enumeration DateOctober 7, 2008
✔ NPI 1740431915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in PA · PT011691L
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
200 2ND AVE, Kingston, PA 18704
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Other Providers at the Same Location NPPES 16

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

MARY LOU GRAY OTR/L
Occupational Therapist
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
PETER NGUYEN MS ORT/L
Occupational Therapist
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
MRS. VIDETTE R JOSEPH PTA
Physical Therapy Assistant
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
KEVIN THOMAS DPM PC
Podiatrist (Foot & Ankle Surgery)
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
KINGSTON SNF OPERATIONS, LLC
Skilled Nursing Facility
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (773) 825-3336
MS. JENNIFER CHRISTINE MILLER COTA
Occupational Therapy Assistant
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
KIMBERLY ANN SCOTT
Occupational Therapist
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315
LORRAINE A SYMONS PTA
Physical Therapy Assistant
200 2ND AVE
KINGSTON, PA 18704
Luzerne County (570) 288-9315

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 Kelly Shaw's NPI number?

The NPI number for Kelly Shaw is 1740431915. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Kelly Shaw located?

Kelly Shaw practices at 200 2nd Ave, Kingston, PA 18704. The listed phone number is (570) 288-9315.

What is Kelly Shaw's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Kelly Shaw was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.