MR. SHANE M. GIBLIN (NPI# 1700061678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700061678 |
| Entity Type | Individual |
| Full Name | MR. SHANE M. GIBLIN |
| Credential | P.T.A. |
| Practice Address |
7485 Mission Valley Rd Suite 104 A San Diego CA 92108-4422 |
| Practice Telephone | 6192918930 |
| Practice Fax Number | 6193984989 |
| Mailing Telephone | 6192918930 |
| Mailing Fax Number | 6193984989 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT6171 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7485 MISSION VALLEY RD SUITE 104 A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910900 | Steven Tradonsky | Orthopaedic Surgery | 7485 Mission Valley Rd, Ste 104, San Diego, CA 92108-4422 | 2005-05-24 |
| 1679811210 | Matthew S. Jones | Anesthesiology | 7485 Mission Valley Rd, Suite 106, San Diego, CA 92108-4422 | 2013-01-16 |
| 1538443965 | Kristine Cavazos Flores | Physical Therapist | 7485 Mission Valley Rd, Suite 100, San Diego, CA 92108-4422 | 2011-10-04 |
| 1730326430 | Jeffrey A. Stahl | Technician, Other | 7485 Mission Valley Rd, Suite 104 A, San Diego, CA 92108-4422 | 2009-01-16 |
| 1477739910 | Francesca M Barton | Physical Therapist | 7485 Mission Valley Rd, Suite 104 A, San Diego, CA 92108-4422 | 2008-01-15 |
| 1699959387 | San Diego Ca Multi Specialty Asc LLC | Clinic/Center | 7485 Mission Valley Rd, Suite 106, San Diego, CA 92108-4422 | 2007-12-18 |
| 1669509477 | Mark S. Austerlitz, M.d., A Medical Corporation | Orthopaedic Surgery | 7485 Mission Valley Rd, Suite 103, San Diego, CA 92108-4422 | 2007-02-28 |
| 1598808776 | Merv Lee Kwai Jr. | Physician Assistant | 7485 Mission Valley Rd, Suite 104a, San Diego, CA 92108-4422 | 2007-02-15 |
| 1861533382 | David L Flood Md Incorporated | Orthopaedic Surgery | 7485 Mission Valley Rd, Suite 103, San Diego, CA 92108-4422 | 2007-02-09 |
| 1912057381 | Mark S. Austerlitz | Orthopaedic Surgery | 7485 Mission Valley Rd, Suite 103, San Diego, CA 92108-4422 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
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| 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 |
|---|---|---|---|---|
| 1871157040 | Steven Tighe Watson | Physical Therapy Assistant | 6851 Rico Ct, San Diego, CA 92111-7029 | 2019-04-23 |
| 1407324494 | Natasha Marie Vega | Physical Therapy Assistant | 6623 Montezuma Rd Apt 65, San Diego, CA 92115-2854 | 2018-11-07 |
| 1912450891 | Gregory Luis Martin | Physical Therapy Assistant | 4060 Fourth Ave Ste 206, San Diego, CA 92103-2120 | 2016-07-27 |
| 1962876656 | Maylene Estrada | Physical Therapy Assistant | 10218 Black Mountain Rd Apt 57, San Diego, CA 92126-3806 | 2015-11-18 |
| 1497126254 | Maren Clausen | Physical Therapy Assistant | 4858 Lila Dr, San Diego, CA 92115-1910 | 2015-10-19 |
| 1881076719 | Gina Derham | Physical Therapy Assistant | 12433 Floresta Ct, San Diego, CA 92128-1310 | 2015-06-27 |
| 1477941102 | Keith Garcia | Physical Therapy Assistant | 15672 Bernardo Center Dr Apt 1504, San Diego, CA 92127-1846 | 2015-01-05 |
| 1891183869 | Roarke Smith | Physical Therapy Assistant | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2014-12-29 |
| 1720486426 | Lydia Watters | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Suite 200, Preferred Healthcare Registry, San Diego, CA 92123 | 2014-12-11 |
| 1649678764 | Linda Esquerra | Physical Therapy Assistant | 8775 Joeve Ct, San Diego, CA 92119-2112 | 2014-12-06 |
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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.