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

Marissa Shaw

Individual provider Physical Therapist · NPI 1093483414

Marissa Shaw is a Physical Therapist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

4218 Blackheath Rd
Dallas, TX 75227-1701
Phone: (214) 457-4042
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1348998 (TX)

Record details

NPI number1093483414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Other providers in Dallas