Clayton Towner Shaw, PT | |
64 S Star Rd, Star, ID 83669-5497 | |
(208) 268-0089 | |
(208) 488-4248 |
Full Name | Clayton Towner Shaw |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 64 S Star Rd, Star, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245586270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11751 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabauthority Llc | 1355333931 | 46 |
Provider Name | Rehabauthority Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20040401001711 |
Mailing Address | Practice Location Address |
---|---|
Clayton Towner Shaw, PT 337 W Iowa Avenue, Nampa, ID 83686 Ph: (208) 467-7889 | Clayton Towner Shaw, PT 64 S Star Rd, Star, ID 83669-5497 Ph: (208) 268-0089 |
Mrs. Danielle-noelle D. Wuerfel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Cardigan Ave, Star, ID 83669 Phone: 269-277-1224 | |
Northstar Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768 | |
Krysia Kristine Rousseau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 704 N Nebula Ct, Star, ID 83669 Phone: 208-703-9824 | |
Mrs. Judianne King Nichols, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768 | |
Lindsey E. Decloss, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9652 W State St, Star, ID 83669 Phone: 208-286-0766 | |
Boise River Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 S Star Road, Suite 2, Star, ID 83669 Phone: 815-540-6065 Fax: 815-380-6355 |