Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134380587 Individual Practitioner Female Practitioner

Dr. Johnelle Nuspl Shaw , PT, MSPT, DPT

Contractor • Lafayette, CO

Professional Overview & Biography Verified Profile Summary

Dr. Johnelle Shaw, PT, MSPT, DPT is a registered healthcare professional specializing in Contractor in Lafayette, CO. Practice services are available at 1021 STAGECOACH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1021 Stagecoach Dr

Lafayette, CO 800268703

Telephone 3035149912
Associated Practice Facility / Clinic
🏢 Shaw Physical Therapy, Inc Facility NPI 1316189038

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Lafayette, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Lafayette, CO (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-07
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License CO 8650

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33972273 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 07, 2020

Registered at 1021 STAGECOACH DR, LAFAYETTE, CO 800268703 (Tel: 3035149912)

📍
Updated Business Mailing Address October 07, 2020

Registered at 1021 STAGECOACH DR, LAFAYETTE, CO 800268703 (Tel: 3035149912)

NPI Profile Active June 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2008

Registered at 401 RIO RANCHO WAY, BRIGHTON, CO 806013539 (Tel: 3035149912)

📍
Updated Business Mailing Address June 18, 2008

Registered at 401 RIO RANCHO WAY, BRIGHTON, CO 806013539 (Tel: 3035149912)

👤
Provider Name / Credentials Updated June 18, 2008

Recorded as JOHNELLE SHAW, PT, MSPT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Contractor (License #8650 in CO)

🟢
Initial NPI Registration & Enumeration June 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134380587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2008
Last Update: October 07, 2020
Sole Proprietor: Yes

Mailing Address

1021 Stagecoach Dr

Lafayette, CO 800268703

Phone: 3035149912

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.