Shaun Douglass, PTA
NPI 1265113450 · Physical Therapy Assistant · Maple Grove, MN
Shaun Douglass, PTA is a Physical Therapy Assistant provider in Maple Grove, MN (NPI 1265113450).
Provider details
- NPI number
- 1265113450
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- A1923 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Shaun Douglass's NPI number?
- Shaun Douglass's National Provider Identifier (NPI) is 1265113450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shaun Douglass's specialty?
- Shaun Douglass is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shaun Douglass located?
- Shaun Douglass's practice location on file with NPPES is 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369-7078.
- What is Shaun Douglass's phone number?
- The practice phone number listed in the NPPES registry for Shaun Douglass is (763) 201-8191.
- Is Shaun Douglass's NPI active?
- Yes — Shaun Douglass's NPI (1265113450) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.