MEDICARE: ELIZABETH B SHAFFER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	17240	TN
2	225100000X	Physical Therapist	PTH10725	AL
3	225200000X	Physical Therapy Assistant	PTA21539	FL

General Provider Information

NPI Number	:	1710293550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH B SHAFFER DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 HARDING PIKE STE 900A
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2013
Country	:	US
Telephone Number	:	615-292-1253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	04/29/2026

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