Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Shaw

Individual provider Physical Therapist · NPI 1104653195

Amanda Shaw is a Physical Therapist in Private Practice in Pocahontas, Arkansas. Qualified in 2022, 4 years ago. Practices with Gross Therapy Services Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2024

Practice location Address checks out

2520 Thomasville Rd
Pocahontas, AR 72455-1203
Phone: (870) 248-1119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5239 (AR)

Record details

NPI number1104653195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing addressPo Box 2398, Mountain Home, AR 72654-2398

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gross Therapy Services Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocahontas