ZACK SHAW (NPI# 1154848034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154848034 |
| Entity Type | Individual |
| Full Name | ZACK SHAW |
| Credential | DPT |
| Practice Address |
4855-57 East 36 Decatur IL 62521 |
| Mailing Address |
725 Montgomery Ln Decatur IL 62526-1268 |
| Practice Telephone | 2178641264 |
| Practice Fax Number | 2178641828 |
| Mailing Telephone | 2174122302 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 14709 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 070023183 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4855-57 EAST 36 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| 1275781593 | Deborah Deloney | Speech-Language Pathologist | Fairhaven Christian Home, 1790 South Fairview, Decatur, IL 62521 | 2008-08-28 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1710588850 | Hannah Poe | Physical Therapist | 2320 Wineleas Rd, Decatur, GA 30033-5519 | 2020-11-04 |
| 1306461215 | Sherri Kornfeld | Physical Therapist | 702 N Parkwood Rd, Decatur, GA 30030-5024 | 2020-06-16 |
| 1013545383 | Rodney Edwards | Physical Therapist | 235 E Ponce De Leon Ave Ste 160, Decatur, GA 30030-3488 | 2020-03-31 |
| 1154955326 | Allison Lee White | Physical Therapist | 2159 Leafmore Dr, Decatur, GA 30033-1910 | 2020-02-26 |
| 1477199479 | Sophia Anyanwu-tyson | Physical Therapist | 5255 Snapfinger Park Dr Ste 130, Decatur, GA 30035-4066 | 2019-11-25 |
| 1952944753 | Team Rehabilitation Ga06, LLC | Physical Therapist | 1456 Church St, Decatur, GA 30030-1526 | 2019-10-24 |
| 1912548900 | Stephanie Wiley | Physical Therapist | 5040 Snapfinger Woods Dr Ste 205, Decatur, GA 30035-4020 | 2019-10-01 |
| 1538716733 | Aegis Group Practice LLC | Physical Therapist | 1882 Clairmont Rd, Decatur, GA 30033-3405 | 2019-08-22 |
| 1790331213 | Iliana Michelle Garcia | Physical Therapist | 5255 Snapfinger Park Dr Unit 5255, Decatur, GA 30035-4084 | 2019-08-12 |
| 1861047839 | Anna Caroline Cottle | Physical Therapist | 1106 Central Park Rd, Decatur, GA 30033-8801 | 2019-08-07 |
| Find all providers in DECATUR | ||||
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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.