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

Samantha Marie Shaw, ATC

Individual provider Athletic Trainer · NPI 1558071043

Samantha Marie Shaw, ATC is an Athletic Trainer in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

870 Montgomery St
Jersey City, NJ 07306
Phone: (714) 356-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00306800 (NJ)

Record details

NPI number1558071043
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 25, 2022
Last updated in NPPESNovember 25, 2022
Certification dateNovember 21, 2022

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