Mrs Lisa M Shaw, PT is a
Physical Therapist based in Stillman Valley, Illinois. Mrs Lisa M Shaw is licensed to practice in Illinois (license number 070.009273) and her current practice location is
9729 N White Tail Trl, Stillman Valley, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 218-1589.
NPI number for Mrs Lisa M Shaw is 1245453356 and her current mailing address is 9729 N White Tail Trl, Stillman Valley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245453356.
Healthcare Provider's Profile
Full Name | Mrs Lisa M Shaw |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 9729 N White Tail Trl, Stillman Valley, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245453356
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 06/11/2012
Medical Identifiers
Medical identifiers for Mrs Lisa M Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245453356 | NPI | - | NPPES |
LS09920398P | Other | IL | EARLY INTEVENTION NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.009273 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa M Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa M Shaw, PT 9729 N White Tail Trl, Stillman Valley, IL 61084-9401 Ph: (815) 218-1589 | Mrs Lisa M Shaw, PT 9729 N White Tail Trl, Stillman Valley, IL 61084-9401 Ph: (815) 218-1589 |
Reviews and Comments