OrganizationActive
Shaw Enterprises
NPI 1104063775 · Physical Therapy Clinic/Center · Brighton, CO
Provider details
- NPI number
- 1104063775
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnelle Shaw, Gen Ptr(303) 514-9912
- License
- 8650 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Rio Rancho Way
Brighton, CO 80601-3539
Phone: (303) 514-9912
Street-level locationGet directions
Mailing address
401 Rio Rancho Way
Brighton, CO 80601-3539
Registry dates
- Enumerated
- 2009-01-19
- Last updated
- 2009-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.