SHASTA KETCHAMCONNELLY (NPI# 1104276120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104276120 |
| Entity Type | Individual |
| Full Name | SHASTA KETCHAMCONNELLY |
| Credential | DPT |
| Practice Address |
508 S 1st Ave Danville IA 52623-9609 |
| Practice Telephone | 3197502799 |
| Mailing Telephone | 3197502799 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 080290 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 871828 | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 3843 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 1221789 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
508 S 1ST AVE |
| City | DANVILLE |
| State | IA |
| Zip Code | 52623-9609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508195447 | Danville Chiropractic PC | Chiropractor | 204 N. Main, Box 236, Danville, IA 52623-0236 | 2009-12-23 |
| 1174582985 | Cardinal Care Corp | Skilled Nursing Facility | 401 S Birch St, Danville, IA 52623-9613 | 2006-03-21 |
| 1104462811 | Adeline Rose Heald | Physical Therapy Assistant | 401 S Birch St, Danville, IA 52623-9613 | 2019-11-18 |
| 1174741854 | Healthcare of Iowa Inc | Skilled Nursing Facility | 401 S Birch St, Danville, IA 52623-9613 | 2007-04-20 |
| 1750454724 | Cynthia Ann Grothe | Chiropractor | 204 N Main St # 236, Danville, IA 52623-9620 | 2006-11-16 |
| 1235496118 | Michelle Gossen | Counselor | 204 N Main St, Danville, IA 52623-9620 | 2012-04-18 |
| 1356480677 | Russ D Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-02-05 |
| 1467670836 | Russ D. Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-04-23 |
| 1356480081 | Diane Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1013516582 | Global Hawk LLC | Home Health | 285 Mocks Creek Dr, Danville, KY 40422-9255 | 2020-10-25 |
| 1659970473 | Jadrian Faith Linville | Technician | 168 Thurmond St, Danville, WV 25053 | 2020-10-22 |
| 1225637382 | Manveen Kaur Sandhu | Dentist | 387 Elworthy Ranch Cir, Danville, CA 94526-4855 | 2020-10-20 |
| Find all providers in DANVILLE | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1518599232 | Katherine Lynn Brady | Physical Therapist | Pediatric Rehabilitation 100 North Academy Avenue, Danville, PA 17822-0001 | 2020-02-11 |
| 1588205967 | Pt Pros, Inc. | Physical Therapist | 2900 S Danville Byp Ste 110, Danville, KY 40422-2464 | 2019-10-07 |
| 1245798859 | Charles Louis Giolzetti | Physical Therapist | 53 San Gregorio Ct, Danville, CA 94526-1507 | 2019-03-04 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1548708571 | Summers Aquatic Therapy & Fitness | Physical Therapist | 36 Ambleside Ct, Danville, CA 94526-4303 | 2017-02-09 |
| 1578005716 | Matthew Brent Williams | Physical Therapist | 321 S 3rd St Ste B, Danville, KY 40422-2090 | 2016-11-04 |
| 1225588114 | Stacie Anne Wong | Physical Therapist | 120 Benjamin Ln, Danville, CA 94506-4777 | 2016-10-04 |
| 1639575889 | Ryan Rubio | Physical Therapist | 174 Executive Dr, Danville, VA 24541-4100 | 2014-11-17 |
| 1144500844 | Daniel Dowdy | Physical Therapist | 487 Mount Hermon Cir, Danville, VA 24540-5287 | 2011-08-25 |
| 1306134341 | Bonnie Kathleen Clark | Physical Therapist | 197 E Broadway St, Danville, IN 46122-1803 | 2011-07-12 |
| Find all providers in DANVILLE | ||||
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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.