MARY SHAW PT, DPT
NPI 1922653708
Physical Therapist in Southaven, MS
About Mary Shaw Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SHAW PT, DPT (NPI 1922653708) is an individual physical therapist in Southaven, Mississippi, licensed in Mississippi (PT6785) and active in the NPI registry since August 2019.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Shaw Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southaven, MS 38672
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Southaven, MS 38672
- Reassigned Medicare billing, Mississippi enrollment
- 5 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 11
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 Mary Shaw's NPI number?
The NPI number for Mary Shaw is 1922653708. It was assigned to this individual provider in the NPPES registry on August 7, 2019.
Where is Mary Shaw located?
Mary Shaw practices at 5271 Getwell Rd, Southaven, MS 38672. The listed phone number is (901) 337-1656.
What is Mary Shaw's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mary Shaw enrolled in Medicare?
Yes. Mary Shaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Shaw reassigns Medicare benefits to 2 organizations: (Southaven, MS) and Jeff Moye Inc. (Southaven, MS). Each 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 Mary 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 Mary Shaw was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.