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

Shaw Stanford Dickerson, DPT

Individual provider Physical Therapist · NPI 1356878946

Shaw Stanford Dickerson, DPT is a Physical Therapist in Gallatin, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

940 Memory Ln Ste 103
Gallatin, TN 37066-7162
Phone: (615) 451-5158
Fax: (615) 451-4033
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11312 (TN)

Record details

NPI number1356878946
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Other providers in Gallatin