Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255593240 Individual Practitioner Female Practitioner

Dr. Kathryn Mary Shaw , PhD, DC

Chiropractor • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Shaw, PhD, DC is a registered healthcare professional specializing in Chiropractor in Port Orange, FL. Practice services are available at 3773 FIANO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3773 Fiano Dr

Port Orange, FL 321298623

Telephone 4074214554
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
123 Specialists

Practicing in Port Orange, FL (7309 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: 2023-05-01
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH9554

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000854600 (FL)
Commercial Insurance / Payer ID Bcbs
88959 (FL)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 01, 2023

Registered at 3773 FIANO DR, PORT ORANGE, FL 321298623 (Tel: 4074214554)

📍
Updated Business Mailing Address May 01, 2023

Registered at 3773 FIANO DR, PORT ORANGE, FL 321298623 (Tel: 4074214554)

NPI Profile Active August 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2010

Registered at 245 BELLAGIO CIR, SANFORD, FL 327715001 (Tel: 4072423301)

📍
Updated Business Mailing Address August 26, 2010

Registered at 1094 OUTLOOK DR, DELTONA, FL 327258329 (Tel: 4074214554)

👤
Provider Name / Credentials Updated August 26, 2010

Recorded as KATHRYN SHAW, PH.D., D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2010

Chiropractor (License #CH9554 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 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: 1255593240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2008
Last Update: May 01, 2023
Sole Proprietor: Yes

Mailing Address

3773 Fiano Dr

Port Orange, FL 321298623

Phone: 4074214554

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.