MADALYN SHAW – Physical Therapist, NPI 1184219792

MADALYN SHAW is a healthcare provider. based in Batchtown, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MADALYN SHAW is 1184219792

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MADALYN SHAW
NPI
1184219792
Phone
Not provided
Address
529 BATCHTOWN RD
Enumeration Date
5 March 2021
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183682781
Graduation Year
2020 (6 years ago)
PAC ID
1355783424
Group Practice PAC ID
0941334213
Professional Enrollment ID
I20240522000405
Address ID
IL620474414HA310XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MADALYN SHAW

  • 529 BATCHTOWN RD

    BATCHTOWN, IL 620061103

    Phone:

    Type: Mailing

  • 1 PROFESSIONAL DR

    ALTON, IL 620025068

    Phone: (618) 462-4621

    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: 2024-05-22

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
I20240522000405IPhysical Therapist In Private PracticeILTBD

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 62006)

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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: 0941334213View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMN
-IL
Occupational Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What number should I use to identify MADALYN SHAW for billing?
Administrative and clinical systems typically use NPI 1184219792 for MADALYN SHAW.
Is MADALYN SHAW currently accepting referrals based on NPI status?
Registry metadata lists MADALYN SHAW as active.
Which specialty label fits MADALYN SHAW?
NPPES ties MADALYN SHAW to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MADALYN SHAW in Batchtown, Illinois?
For routing, start with Batchtown, Illinois for MADALYN SHAW, then verify phone and hours locally.
Who maintains MADALYN SHAW's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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