SHANNON F BURBANK (NPI# 1093280307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093280307 |
| Entity Type | Individual |
| Full Name | SHANNON F BURBANK |
| Practice Address |
1127 Caldwell Blvd Nampa ID 83651-1701 |
| Mailing Address |
2697 W Los Flores Ct Meridian ID 83646-5468 |
| Practice Telephone | 2094654935 |
| Mailing Telephone | 1208884382 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5839 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1127 CALDWELL BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215085675 | Susan Elane Cahoon | Physical Therapy Assistant | 1127 Caldwell Blvd, Nampa, ID 83651 | 2007-01-08 |
| 1962019539 | Jennifer Erin Marschall | Speech-Language Pathologist | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2020-09-28 |
| 1720605637 | Nampa Ventures, L.L.C. | Assisted Living Facility | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2020-06-26 |
| 1699226548 | Jennifer Lynn Hansen | Occupational Therapist | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2016-10-15 |
| 1336699057 | Jennifer Lindsay | Physical Therapy Assistant | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2016-10-05 |
| 1891148979 | Care Center Nampa Inc | Skilled Nursing Facility | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2016-07-13 |
| 1538205299 | Alison Ann Bayne | Occupational Therapy Assistant | 1127 Caldwell Blvd, Nampa, ID 83686 | 2007-01-29 |
| 1992859615 | Kimberly Kae Owens | Physical Therapist | 1127 Caldwell Blvd, Nampa, ID 83651 | 2007-01-22 |
| 1205980968 | Michael John Owens | Physical Therapist | 1127 Caldwell Blvd, Nampa, ID 83651 | 2007-01-22 |
| 1104977479 | Development Enterprises, Inc. | Skilled Nursing Facility | 1127 Caldwell Blvd, Nampa, ID 83651-1719 | 2007-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083141394 | Nohe Mata | Physical Therapy Assistant | 4301 Garrity Blvd Ste 103, Nampa, ID 83687-9222 | 2017-05-17 |
| 1417491739 | Victoria Price | Physical Therapy Assistant | 4301 Garrity Blvd, Nampa, ID 83687-9220 | 2016-12-05 |
| 1841732518 | Mark E Stephenson | Physical Therapy Assistant | 113 Smith Ave, Nampa, ID 83651-2322 | 2016-11-13 |
| 1205258316 | Amanda Draper | Physical Therapy Assistant | 5911 Joe Ln, Nampa, ID 83687-8703 | 2014-01-08 |
| 1215085675 | Susan Elane Cahoon | Physical Therapy Assistant | 1127 Caldwell Blvd, Nampa, ID 83651 | 2007-01-08 |
| 1336699057 | Jennifer Lindsay | Physical Therapy Assistant | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665304 | Mara Danielle Bonawitz | Physical Therapy Assistant | 420 Pheasant Rd, Twin Falls, ID 83301-8728 | 2020-10-05 |
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1770106502 | Ellen Ferrenburg | Physical Therapy Assistant | 64 S Star Rd, Star, ID 83669-5497 | 2020-05-27 |
| 1811523145 | Kimberly Jean Larsen | Physical Therapy Assistant | 3251 N Summerbrook Pl, Meridian, ID 83646-5581 | 2020-03-18 |
| 1023656618 | Lisa Camille Dialogue | Physical Therapy Assistant | 6074 N Discovery Way Ste 110, Boise, ID 83713-0210 | 2019-12-15 |
| 1497306831 | Britany Jennifer Cunningham | Physical Therapy Assistant | 222 E Elm St, Caldwell, ID 83605-4815 | 2019-09-26 |
| 1922665553 | Kristina Kay Hill | Physical Therapy Assistant | 932 Starlight Loop, Twin Falls, ID 83301-5181 | 2019-05-20 |
| 1275197667 | Jason Detwiler | Physical Therapy Assistant | 2411 S Essex Way, Boise, ID 83709-2304 | 2019-05-01 |
| 1073071692 | Eric R Cutlip | Physical Therapy Assistant | 104 W Ash St, Genesee, ID 83832-8709 | 2019-03-04 |
| 1720586209 | Bree Anne Mackenzie | Physical Therapy Assistant | 382 Partridge Ln, Rexburg, ID 83440-3593 | 2018-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.