SHELBY GACCETTA (NPI# 1295143659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295143659 |
| Entity Type | Individual |
| Full Name | SHELBY GACCETTA |
| Practice Address |
2400 Wisteria Dr Suite A Snellville GA 30078-2689 |
| Practice Telephone | 7709820102 |
| Practice Fax Number | 7709820130 |
| Mailing Telephone | 7709820102 |
| Mailing Fax Number | 7709820130 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002487 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2400 WISTERIA DR SUITE A |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688392 | Gwinnett Bone & Joint Specialist | Orthopaedic Surgery | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2006-09-14 |
| 1285084897 | Joseph Drew Johnson | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2016-06-14 |
| 1497100317 | Grace-garanthe Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2400 Wisteria Dr, Suite F, Snellville, GA 30078-2689 | 2016-04-28 |
| 1922474725 | Ashley Nicole Mcfarland | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2015-08-15 |
| 1205238631 | Amanda Hotop | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2014-09-17 |
| 1619309564 | Camelyn T Gustafson | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2013-08-02 |
| 1780026203 | Evan Rosenberry | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2013-07-25 |
| 1962756478 | Sarah Gossett | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-11-06 |
| 1184979288 | Amy E Curtis | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-07-16 |
| 1609131820 | Laura P Guigou | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095202 | Two Dragons Tai Chi LLC | Specialist/Technologist | 4373 Marjorie Rd, Snellville, GA 30039-6538 | 2020-08-25 |
| 1598327264 | Jeri Lynn Hall-mcfadden | Specialist/Technologist | 4373 Marjorie Rd, Snellville, GA 30039-6538 | 2019-07-02 |
| 1023493558 | Kendra Gardner | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2015-07-27 |
| 1205238631 | Amanda Hotop | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2014-09-17 |
| 1780026203 | Evan Rosenberry | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2013-07-25 |
| 1457621229 | William Miller II | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-01-10 |
| 1194003913 | Laura Maclaren | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2011-07-27 |
| 1811298896 | Dustin M Tate | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2010-11-08 |
| 1629209036 | Ashley B Mcnair | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2009-08-03 |
| 1952531626 | Andrew D Balick | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2009-07-16 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on SHELBY GACCETTA.
| 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.