SHEA DINEEN (NPI# 1518590793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518590793 |
Entity Type | Individual |
Full Name | SHEA DINEEN |
Practice Address |
1015 W 47th St Norfolk VA 23529-0001 |
Mailing Address |
1015 W 47th Street Norfolk VA 23508 |
Practice Telephone | 7576837041 |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1015 W 47TH ST |
City | NORFOLK |
State | VA |
Zip Code | 23529-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720057110 | Lisa Renee Koperna | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2006-03-16 |
1104439371 | Lauren Rice | Occupational Therapist | 1015 W 47th St, Norfolk, VA 23508 | 2020-08-27 |
1346807112 | Sharese Joell Douglas | Physical Therapy Assistant | 1015 W 47th St, Norfolk, VA 23508 | 2019-05-28 |
1023596681 | Ryan Christopher Hunt | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2018-08-04 |
1962993527 | Tricia Morgan L'heureux | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2018-05-18 |
1124561147 | Rebecca Sargeant | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2016-11-22 |
1629439013 | Mary Grace Rafanan | Occupational Therapy Assistant | 1015 W 47th St, Norfolk, VA 23529-0001 | 2016-03-11 |
1821461682 | Leslie Prom | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2015-11-02 |
1558761015 | Samantha Ficksman | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2014-09-02 |
1871929729 | Old Dominion University | Clinic/Center | 1015 W 47th St, Norfolk, VA 23529-0001 | 2013-09-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528681939 | Breanna Jo Davis | Student in an Organized Health Care Education/Training Program | 5115 Hampton Boulevard, Norfolk, VA 23529-0001 | 2020-05-20 |
1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
1679054035 | Charles Marshall Mozena | Specialist/Technologist | 4700 Powhatan Avenue, Norfolk, VA 23529-0001 | 2018-08-23 |
1669960258 | Dana Slepsky Robertson | Speech-Language Pathologist | 1015 W 47th Street, Norfolk, VA 23529-0001 | 2018-04-29 |
1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
1437682705 | Robert Medina | Specialist/Technologist | 4500 Parker Ave, Norfolk, VA 23529-0001 | 2017-04-04 |
1053767426 | Michael Olson | Specialist/Technologist | Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001 | 2016-05-04 |
1144639568 | Heather Mckay Byrne | Physical Therapist | Odu Monarch Physical Therapy, 1015 West 47th Street, Norfolk, VA 23529-0001 | 2014-08-11 |
1770991051 | Cori Winifred Sinnott | Specialist/Technologist | 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2014-07-30 |
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Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467444547 | Mark Nolan Augustine | Physical Therapist | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912552746 | Elizabeth Goodwin-horn | Physical Therapist | 8257 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-08-08 |
1902317928 | Morgan Eppes | Physical Therapist | 206 Twinridge Ln, North Chesterfield, VA 23235-5200 | 2017-10-17 |
1194258103 | Preeti Verma | Physical Therapist | 11908 Blairmont Pl, Glen Allen, VA 23059-5399 | 2017-04-06 |
1831622844 | Paige Carroll | Physical Therapist | 2137 Kelly Ridge Rd, Henrico, VA 23233-6908 | 2017-04-06 |
1659725554 | Willie Lim Ching | Physical Therapist | 43340 Claybrooke Cir, Ashburn, VA 20147-4579 | 2016-04-17 |
1497891758 | Gwendolyn Louise Carr | Physical Therapist | 412 Breezy Pt, Chesapeake, VA 23322-8372 | 2007-01-30 |
1831297936 | Valerie Washington Gibson | Physical Therapist | 8230 Old Courthouse Rd, Suite 350, Vienna, VA 22182-3853 | 2006-09-20 |
1134231103 | Susan Melton Schmieg | Physical Therapist | 3000 Heritage Farm Ct, Oak Hill, VA 20171-2232 | 2006-08-31 |
1134148059 | Alan Lombardo | Physical Therapist | 140 Eastshore Dr Ste 200, Glen Allen, VA 23059-5755 | 2006-07-19 |
1669025540 | Kathryn Marie Ingraham | Physical Therapist | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-07-19 |
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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.