Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACK SHAW, DPT
Active Sole ProprietorZACK SHAW, DPT is a Physical Therapy Assistant healthcare provider located in DECATUR, Illinois. NPI 1154848034 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DECATUR, IL
Registration Details
- NPI Number
- 1154848034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2017 (8.9475719543131 yrs)
- Last Updated
- Jun 25, 2019
- Licenses
-
14709 (WI)070023183 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4855-57 EAST 36DECATUR, IL, 62521Browse IL providers · Browse ZIP 62521
- Phone
- 2178641264
- Fax
- 2178641828
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN HILL | PT, CERT. MDT | 1508805649 |
| MRS. JENNIFER JOHNSTON | PT, CERT. MDT | 1487693214 |
| JANINE BOEHME | — | 1982634853 |
| MRS. LINDA SUE MILLER I | — | 1083757728 |
| MRS. AMY ELIZABETH BROWN II | LPTA | 1912040254 |
| MR. JEFFREY THOMAS BROWN | PT | 1972636082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.