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

MS. Shanin Leah Degraw, PTA

Individual provider Specialist · NPI 1164780615

MS. Shanin Leah Degraw, PTA is a Specialist in Fernandina Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1885 S 14th St
Fernandina Beach, FL 32034-3033
Phone: (904) 277-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PTA22943 (FL)

Record details

NPI number1164780615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 2, 2012
Last updated in NPPESMay 2, 2012

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