SHANE NORMAN CARDINAL (NPI# 1952964686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952964686 |
| Entity Type | Individual |
| Full Name | SHANE NORMAN CARDINAL |
| Credential | LAT, ATC |
| Practice Address |
521 Glastonbury Tpke Portland CT 06480-1003 |
| Mailing Address |
68 State St Apt 417 Ludlow MA 01056-3570 |
| Practice Telephone | 5086853241 |
| Mailing Telephone | 5086853241 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001271 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
521 GLASTONBURY TPKE |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184638 | Alyssa Rose Unikewicz | Specialist/Technologist | 5 Allison Drive, Portland, CT 06480 | 2016-06-07 |
| 1124168224 | Portland Board of Education | Local Education Agency (LEA) | Portland High School, 95 High Street, Portland, CT 06480 | 2007-02-07 |
| 1699700831 | Stephen P Paschall | Counselor | 44 Marlborough Turnpike, Path, Portland, CT 06480 | 2006-07-12 |
| 1346600368 | Thalody Family Dentistry LLC | Dentist | 260 Main St, Portland, CT 06480 | 2016-03-03 |
| 1669782975 | Ann L Sinko | Marriage & Family Therapist | 264 Main St, Portland, CT 06480 | 2010-10-20 |
| 1013023878 | Richard Brian Morse | Dentist | 322 Main St, Portland, CT 06480 | 2006-08-22 |
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1770520652 | Deborah B. Heilman | Physical Therapist | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-06-01 |
| 1184644015 | Applied Physical Therapy & Wellness, LLC | Clinic/Center | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-07-21 |
| 1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
| Find all providers in zip 06480 | ||||
| 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 |
|---|---|---|---|---|
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1154933158 | Jennifer Owens | Specialist/Technologist | 2 Jobs Gate 1, Portland, CT 06480-1750 | 2020-08-20 |
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1386284453 | Richard J Campbell | Specialist/Technologist | 300 N Winning Way, Portland, OR 97227-2108 | 2020-01-07 |
| 1417597584 | Sarah Ashley Mcsweeney | Specialist/Technologist | 2105 Nw Flanders St Apt 4, Portland, OR 97210-3450 | 2020-01-07 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1366096448 | Madeleine Knutson | Specialist/Technologist | 12617 Nw Avignon Ln, Portland, OR 97229-9405 | 2019-07-28 |
| 1720648215 | Nicholas Ryan Thomas | Specialist/Technologist | 4800 Ne 122nd Ave, Portland, OR 97230-1001 | 2019-06-17 |
| Find all providers in PORTLAND | ||||
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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.