CINDY ANN SHAW (PT) – Physical Therapist, NPI 1992761605

CINDY ANN SHAW (PT) is a healthcare provider. based in Santa ana, California. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT10271 (CA). The NPI Number for CINDY ANN SHAW (PT) is 1992761605

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
CINDY ANN SHAW (PT)
NPI
1992761605
Phone
Not provided
Address
3093 S HARBOR BLVD
Enumeration Date
21 April 2006
Last Update Date
9 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7148401505
Graduation Year
1980 (46 years ago)
PAC ID
3274509922
Group Practice PAC ID
4284600933
Professional Enrollment ID
I20050413001000
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CINDY ANN SHAW (PT)

  • 3093, Harbor Boulevard, Santa Ana, Orange County, California, 92704, United States

    SANTA ANA, CA 927046448

    Phone:

    Mailing address matches the actual address.

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: 2005-04-13

PECOS data refreshed: 2026-05-27

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
I20050413001000IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities57424$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6618$0
View full utilization report →

Insurance plans in this area (ZIP 92704)

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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: 4284600933View full group profile

Reviews

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Frequently asked questions

Can I verify CINDY ANN SHAW (PT) with an NPI only?
You can start verification with NPI 1992761605 for CINDY ANN SHAW (PT), then check state licensing separately.
Can I rely on CINDY ANN SHAW (PT) being an active provider?
As of the registry snapshot, CINDY ANN SHAW (PT) is marked active.
What is CINDY ANN SHAW (PT)'s specialty?
The listing groups CINDY ANN SHAW (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for CINDY ANN SHAW (PT)?
CINDY ANN SHAW (PT)'s geographic hint is Santa Ana, California in our summary view.
Why does CINDY ANN SHAW (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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