DR. BENNETT SHAKE (NPI# 1235648866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235648866 |
| Entity Type | Individual |
| Full Name | DR. BENNETT SHAKE |
| Credential | DPT |
| Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
| Mailing Address |
9 Wigglesworth St Apt 2 Roxbury Crossing MA 02120-1602 |
| Practice Telephone | 6177402415 |
| Practice Fax Number | 6177402413 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 22817 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1353 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
| 1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
| 1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
| 1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
| 1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
| 1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| 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 |
|---|---|---|---|---|
| 1124533237 | Tanzila Potia | Physical Therapist | 415 Neponset Ave Ste 2b, Dorchester, MA 02122-3169 | 2017-12-12 |
| 1255850210 | Michael Lucas | Physical Therapist | 960 William T Morrissey Blvd, Dorchester, MA 02122-3206 | 2017-09-11 |
| 1356894653 | Benjamin Rose | Physical Therapist | 540 Gallivan Blvd Fl 2nd, Dorchester, MA 02124-5400 | 2016-08-03 |
| 1174994289 | Sophia Veiras | Physical Therapist | 1100 Washington St Ste 200, Dorchester, MA 02124 | 2015-10-15 |
| 1639591126 | Elliott Physical Therapy, Inc. | Physical Therapist | 960 Morrissey Blvd, Dorchester, MA 02122-3206 | 2014-01-17 |
| 1063761138 | Adam C Thomas | Physical Therapist | 78 Tuttle St, Dorchester, MA 02125-1436 | 2012-09-05 |
| 1508167917 | Raven A Jackson | Physical Therapist | 19 Brinsley St, Dorchester, MA 02121-3607 | 2010-11-16 |
| 1700023090 | Kane Square Physical Therapy, LLC | Physical Therapist | 427 Bowdoin Street, Dorchester, MA 02122 | 2009-01-08 |
| 1174773477 | Maryanne Yaeger Johnson | Physical Therapist | 415 Neponset Ave, Dorchester, MA 02122-3168 | 2008-09-23 |
| 1578779567 | Gayle A. Maneikis | Physical Therapist | 24 Pierce Ave, Apt. 2, Dorchester, MA 02122-2316 | 2007-05-15 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
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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.