MR. JERRY LEE SHAW (PT) – Athletic Trainer, NPI 1336186717

MR. JERRY LEE SHAW (PT) is a healthcare provider. based in Opelika, Alabama. specializing in Athletic Trainer. They hold the professional credentials PT. They hold a License No. PTH2028 (AL). The NPI Number for MR. JERRY LEE SHAW (PT) is 1336186717

Main info

Male
Name
MR. JERRY LEE SHAW (PT)
NPI
1336186717
Phone
(334) 826-3353
Address
1030 GREGORY GLEN RD
Enumeration Date
2 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. JERRY LEE SHAW (PT)

  • 1030 GREGORY GLEN RD

    OPELIKA, AL 368019417

    Phone: (334) 826-3353

    Type: Mailing

  • 2000, Pepperell Parkway, Five Points, Opelika, Lee County, Alabama, 36801, United States

    OPELIKA, AL 368015452

    Phone: (334) 528-3270

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 36801)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JERRY LEE SHAW (PT)?
MR. JERRY LEE SHAW (PT) — NPI 1336186717 — is the standard way to identify this listing.
Can I rely on MR. JERRY LEE SHAW (PT) being an active provider?
As of the registry snapshot, MR. JERRY LEE SHAW (PT) is marked active.
What healthcare role does MR. JERRY LEE SHAW (PT) hold?
Scheduling teams often label MR. JERRY LEE SHAW (PT) under Athletic Trainer. Clinical services aligned with this taxonomy classification.
Does MR. JERRY LEE SHAW (PT) list a practice location?
Patients near Opelika, Alabama may find MR. JERRY LEE SHAW (PT) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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