JOY DANIELLE SHANK (NPI# 1164598462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164598462 |
Entity Type | Individual |
Full Name | JOY DANIELLE SHANK |
Credential | PT |
Practice Address |
7203 Se Raymond St Portland OR 97206-4323 |
Mailing Address |
12948 Se Winston Rd Damascus OR 97089-7606 |
Practice Telephone | 5038951320 |
Mailing Telephone | 5038951320 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2014-06-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4441 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7203 SE RAYMOND ST |
City | PORTLAND |
State | OR |
Zip Code | 97206-4323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710598701 | Kierstyn Monet Gilmore | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2020-08-12 |
1134690530 | Kelsie Anne Barmore | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2018-12-10 |
1407374473 | Kathryn Marxen-simonson | Occupational Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2017-08-30 |
1326595315 | Nadia Noid | Occupational Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2016-09-07 |
1982001194 | Children's Intensive Therapy | Clinic/Center | 7203 Se Raymond St, Portland, OR 97206-4323 | 2014-12-03 |
1194124487 | Alanna Verdino | Speech-Language Pathologist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2014-08-22 |
1669883583 | Keri Marie Nelson | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2014-05-13 |
1336576586 | Riley Murray | Physical Therapy Assistant | 7203 Se Raymond St, Portland, OR 97206-4323 | 2013-10-02 |
1023363504 | Suzanne Kathryn Welch | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2012-07-19 |
1922382381 | Emily Erin Peterson | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2011-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
Find all providers in zip 97206 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275156101 | Pace Pediatric Therapy, Inc. | Physical Therapist | 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 | 2020-05-27 |
1861453979 | Therapy Solutions for Kids, LLC | Physical Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2006-03-29 |
1366998254 | Cressa Elizabeth Schuster | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-08-30 |
1851845440 | Stephanie Williams | Physical Therapist | 9155 Sw Barnes Rd, Gerry Frank Center for Children, Portland, OR 97225-6625 | 2016-08-11 |
1184178725 | Kathryn Knudsen | Physical Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-11 |
1063966794 | Jennifer J Rosoff | Physical Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-10 |
1053682419 | Vicki Belinda Vadas | Physical Therapist | 196 Allen Ave, Portland, ME 04103-3711 | 2012-01-17 |
1184932659 | Kay Throckmorton | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2010-09-18 |
1689982126 | Sally Marie Moeggenberg | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2010-09-17 |
1477886232 | Childrens Intensive Therapy Northwest | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2009-09-11 |
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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.