Gentry Shaffer, PTA
NPI 1104602911ActiveIndividual· Physical Therapy Assistant· Sun City, AZ
Physical Therapy Assistant (PTA) in Sun City, Arizona, licensed in AZ, with an NPI issued in September 2023.
Overview
| NPI | 1104602911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Sep 6, 2023 |
| Last updated in NPPES | Sep 6, 2023 |
| Certified by provider | Sep 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 014131 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Sun City
- 1548625247
- 1396570529
- 1285046755
- 1780341115