National Provider Identifier
Benjamin George Shaw, PT, DPT
Benjamin George Shaw, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Niagara Falls, NY and a listed phone number of (716) 298-2249.
Profile Overview
- NPI
- 1427705912
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 04, 2022
- Last Updated
- March 04, 2022
Practice Location
- 1 Colomba Dr Ste 5
- Niagara Falls, NY 14305-1275
Phone: (716) 298-2249
Mailing Address
- 2111 Fix RD
- Grand Island, NY 14072-2547
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1427705912
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Benjamin
- Middle Name
- George
- Credential
- PT, DPT
- Mailing Street Address
- 2111 Fix RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2547
- Mailing Country
- US
- Mailing Phone
- (716) 864-7929
- Practice Street Address
- 1 Colomba Dr Ste 5
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14305-1275
- Practice Country
- US
- Practice Phone
- (716) 298-2249
- Enumeration Date
- March 04, 2022
- Last Updated
- March 04, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)