ROXANNE SHAW (PT, DPT) – Physical Therapist, NPI 1316620396

ROXANNE SHAW (PT, DPT) is a healthcare provider. based in Valencia, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 304531 (CA). The NPI Number for ROXANNE SHAW (PT, DPT) is 1316620396

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE SHAW (PT, DPT)
NPI
1316620396
Phone
(661) 250-9940
Address
25115 AVENUE STANFORD STE B135
Enumeration Date
8 August 2023
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6619479977
Graduation Year
2023 (3 years ago)
PAC ID
1850746496
Group Practice PAC ID
4486639143
Professional Enrollment ID
I20231017001624
Address ID
CA915051545BU3425XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ROXANNE SHAW (PT, DPT)

  • 25115 AVENUE STANFORD STE B135

    VALENCIA, CA 913551290

    Phone: (661) 250-9940

    Fax: (991) 250-9959

    Type: Mailing

  • 18039 SHERMAN WAY

    RESEDA, CA 913354630

    Phone: (818) 343-4303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231017001624IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486639143View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do I look up ROXANNE SHAW (PT, DPT) by NPI?
Use NPI 1316620396 when you need to reference ROXANNE SHAW (PT, DPT) in forms, claims, or directories.
Is ROXANNE SHAW (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROXANNE SHAW (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ROXANNE SHAW (PT, DPT). Clinical services aligned with this taxonomy classification.
Does ROXANNE SHAW (PT, DPT) practice in California?
You will see Valencia, California on file for ROXANNE SHAW (PT, DPT) alongside any extra practice locations.
What if Valencia, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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