MS. KIM M SHEEHAN (NPI# 1205988334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205988334 |
| Entity Type | Individual |
| Full Name | MS. KIM M SHEEHAN |
| Credential | PTA |
| Practice Address |
5201 Walnut Avenue Ste 4 Downers Grove IL 60515-4025 |
| Practice Telephone | 6309644707 |
| Practice Fax Number | 6309644797 |
| Mailing Telephone | 6309644707 |
| Mailing Fax Number | 6309644797 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1600011401 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5201 WALNUT AVENUE STE 4 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710939236 | Deborah K Anderson | Physical Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2006-05-16 |
| 1396936043 | Kelly Marie Gamble | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-08-07 |
| 1437203692 | Samantha Ann Leibold | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-23 |
| 1649322660 | Patricia W Ideran | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| 1598817579 | Halina E Blaszynski | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| 1639221682 | Pediatric Rehabilitation Services | Clinic/Center | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| 1063564037 | Christine Dawn Jurjovec | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| 1679625693 | Annette Mcmullin Smith | Physical Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| 1922150051 | Sandra M Haugh | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-17 |
| 1063564110 | Elizabeth J Maruyama | Occupational Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811255292 | Jennifer Patrice Riesmeyer | Physical Therapist | 5437 Brookbank Rd, Downers Grove, IL 60515-4842 | 2012-04-24 |
| 1265727077 | Judy L Flavin | Physical Therapist | 4820 Bryan Pl, Downers Grove, IL 60515-3624 | 2011-06-09 |
| 1710939236 | Deborah K Anderson | Physical Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2006-05-16 |
| 1679625693 | Annette Mcmullin Smith | Physical Therapist | 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on MS. KIM M SHEEHAN.
| 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.