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

Mackensi Shaw, DPT

Individual provider Physical Therapist · NPI 1205505922

Mackensi Shaw, DPT is a Physical Therapist in Private Practice in Geneva, New York. Qualified in 2021, 5 years ago. Practices with Shuman Physical Therapy Associates PC, a 140-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

283 W North St
Geneva, NY 14456-1530
Phone: (315) 789-0841
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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 047576 (NY)

Record details

NPI number1205505922
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address283 W North St, Geneva, NY 14456-1530

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Shuman Physical Therapy Associates Pc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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