SHANE HENDERSON (NPI# 1619251006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619251006 |
| Entity Type | Individual |
| Full Name | SHANE HENDERSON |
| Credential | DPT |
| Practice Address |
30 Hatfield Ln Suite 203 Goshen NY 10924-6766 |
| Practice Telephone | 8456152222 |
| Practice Fax Number | 8456152224 |
| Mailing Telephone | 8456152222 |
| Mailing Fax Number | 8456152224 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 034331 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30 HATFIELD LN SUITE 203 |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511992 | Rachel Colvin | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2005-10-06 |
| 1154874139 | Madeleine Banulski Ziegler | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924 | 2016-07-26 |
| 1598130403 | Harriman Partners LLC | Clinic/Center | 30 Hatfield Ln, Bldg 2, Goshen, NY 10924-6783 | 2015-12-03 |
| 1548630494 | Michelle Dunn | Occupational Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2015-10-05 |
| 1518363530 | Julie Benzenberg | Physical Therapist | 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 | 2014-11-18 |
| 1659702876 | Jessica Lee Altland | Dietitian, Registered | 30 Hatfield Ln, Suite 107, Goshen, NY 10924-6766 | 2013-12-13 |
| 1255676672 | Phillip Bautista | Physical Therapy Assistant | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2012-12-11 |
| 1093091134 | Gregory Redding | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-11-02 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
| 1962700401 | Maryke Louise Troast | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924-6766 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| 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 |
|---|---|---|---|---|
| 1437666724 | Associates In Pediatric Therapy LLC | Physical Therapist | 11000 W Highway 42, Goshen, KY 40026-9407 | 2018-01-08 |
| 1427561521 | Jessica Ann Newcomer | Physical Therapist | 223 Chicago Ave, Goshen, IN 46526-2311 | 2017-11-10 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1649793894 | Team Rehabilitation In12, LLC | Physical Therapist | 223 North Chicago Ave, Goshen, IN 46526-2311 | 2017-07-19 |
| 1053840306 | Courtney N Herschberger | Physical Therapist | 609 S 8th St, Goshen, IN 46526-4018 | 2017-06-09 |
| 1275886335 | Jeanette A Samuel | Physical Therapist | 421 S 7th St, Goshen, IN 46526-3409 | 2012-10-25 |
| 1396998548 | Lorene Michelle Allspach | Physical Therapist | 2 Meadowbrook Ln, Goshen, NY 10924-2611 | 2008-11-01 |
| 1215152426 | Karleen Lee Cordeau | Physical Therapist | 43 Rockwall Ct, Goshen, CT 06756-1715 | 2007-04-14 |
| 1518038397 | Susan D Hancock | Physical Therapist | 2800 Bold Ruler Dr, Goshen, KY 40026-9596 | 2006-11-13 |
| 1912000282 | Christopher Scott Hopkins | Physical Therapist | 1824 Dorchester Court, North Central Orthopedics, Goshen, IN 46526 | 2006-09-05 |
| Find all providers in GOSHEN | ||||
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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.