SHAWN GARDINER (NPI# 1487021085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487021085 |
| Entity Type | Individual |
| Full Name | SHAWN GARDINER |
| Practice Address |
3300 W Brewster St Appleton WI 54914-1699 |
| Mailing Address |
913 Wilson Ave Green Bay WI 54303-4109 |
| Practice Telephone | 9208321657 |
| Mailing Telephone | 9203862686 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2386-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3300 W BREWSTER ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167430 | County of Outagamie | Skilled Nursing Facility | 3300 W Brewster St, Appleton, WI 54914 | 2005-10-06 |
| 1629610175 | Kalie Ann Maiden | Physical Therapist | 3300 W Brewster St, Appleton, WI 54914-6444 | 2019-10-16 |
| 1740760537 | Courtney Paige Weber | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-21 |
| 1285114637 | Joslyn Destree | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-15 |
| 1255819082 | Siraya Schleis | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-02 |
| 1932692621 | Kaitlyn Sue Hein | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914 | 2018-06-07 |
| 1093220774 | Karissa Mccorison | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2017-12-04 |
| 1104336767 | Whitney Ann Hartjes | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2017-10-09 |
| 1881040079 | Candice Freese | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2016-05-06 |
| 1922470376 | Jennifer Fischer | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-1699 | 2015-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1821554536 | Shannon Nicole Barker | Physical Therapy Assistant | W4070 Devine Ln, Appleton, WI 54913-8399 | 2019-02-18 |
| 1568934867 | Carlie Marie Burns | Physical Therapy Assistant | 1314 Oakcrest Ct, Appleton, WI 54914-5529 | 2018-12-26 |
| 1861927865 | Matthew Boese | Physical Therapy Assistant | 3402 E Paris Way, Appleton, WI 54913-8727 | 2017-04-27 |
| 1588045637 | M Angela Luck | Physical Therapy Assistant | 1705 S Hycrest Dr, Appleton, WI 54914-5155 | 2015-06-15 |
| 1801085899 | Tammy Marie Gloede | Physical Therapy Assistant | 1818 N Meade Street, Appleton, WI 54912-2759 | 2007-10-16 |
| 1316501034 | Lisa M Newman | Physical Therapy Assistant | 1101 E South River St, Appleton, WI 54915-2223 | 2019-04-29 |
| 1629552732 | Lisa Nooyen | Physical Therapy Assistant | 325 E Florida Ave, Appleton, WI 54911-1325 | 2018-09-24 |
| 1285114637 | Joslyn Destree | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-15 |
| 1255819082 | Siraya Schleis | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-02 |
| 1932692621 | Kaitlyn Sue Hein | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914 | 2018-06-07 |
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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.