MR. MICHAEL DUDLEY SHAW (MPT) – Physical Therapist, NPI 1003802943
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
610 PHYSICAL THERAPIST IN PRIVATE PRACTICE in RI
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Provider Addresses for MR. MICHAEL DUDLEY SHAW (MPT)
Cranston Medical Labs, 725, Reservoir Avenue, Cranston, Providence County, Rhode Island, 02920, United States
#101
CRANSTON, RI 029104448
Phone: (401) 944-3800
Fax: (401) 944-1342
Type: Mailing
2138, Mendon Road, Ashton, Cumberland, Providence County, Rhode Island, 02864, United States
#302
CUMBERLAND, RI 028643834
Phone: (401) 334-0218
Fax: (401) 334-9531
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: 2008-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080204000255 | I | Physical Therapist In Private Practice | RI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,612 | 70 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 332 | 34 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 331 | 45 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 220 | 23 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 82 | 17 | $0 |
Insurance plans in this area (ZIP 02910)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| - | RI | |
| Orthopedic Surgery | RI | |
| - | RI | |
| - | RI | |
| Orthopedic Surgery | RI | |
| Physical Therapist In Private Practice | RI | |
| Orthopedic Surgery | TX | |
| Physician Assistant | RI | |
| Physician Assistant | RI |
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