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

Individual provider Physical Therapist · NPI 1508680281

Eric Vaughn Shawl, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Frederick, Maryland. Qualified in 2012, 14 years ago. Practices with Spring Ridge Physical Therapy, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

65 Thomas Johnson Dr Ste D
Frederick, MD 21702-4371
Phone: (301) 663-7898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24166 (MD)

Record details

NPI number1508680281
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Spring Ridge Physical Therapy — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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