GINA SHIELDS NEW (NPI# 1053850925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053850925 |
| Entity Type | Individual |
| Full Name | GINA SHIELDS NEW |
| Credential | PT |
| Practice Address |
1500 James Simpson Jr Drive Covington KY 41011 |
| Mailing Address |
2138 N Fort Thomas Ave Fort Thomas KY 41075-1022 |
| Practice Telephone | 8596554268 |
| Mailing Telephone | 8596307291 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
002102 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1500 JAMES SIMPSON JR DRIVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| 1083816888 | Northern Kentucky Mental Health Mental Retardation Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1740810100 | Donald Martin Ponzo Jr. | Physical Therapist | 653 Myrtle Dr, Covington, LA 70433-8225 | 2020-01-23 |
| 1790190353 | Emily Lafleur | Physical Therapist | 1550 Ochsner Blvd, Covington, LA 70433-8192 | 2014-06-23 |
| 1932456142 | Christopher Baracco | Physical Therapist | 1201 Ochsner Blvd, Suite A, Covington, LA 70433-8147 | 2012-08-07 |
| 1083853899 | Germaine Lee Silva | Physical Therapist | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2009-02-18 |
| 1639267974 | Dynamic Physical Therapy Services LLC | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2006-10-11 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1700841632 | Jonathan E. Koontz | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-20 |
| 1508821976 | Steven H. Speeler | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1619492279 | Madisson Turner | Physical Therapist | 708 Westport Rd Ste 200, Elizabethtown, KY 42701-3818 | 2017-08-04 |
| 1013272913 | Stacy Renee Downs | Physical Therapist | 4121 Shelbyville Rd., Suite 7, Louisville, KY 40207 | 2012-07-07 |
| 1326147364 | Patricia Jo Metten | Physical Therapist | 1404 Eastern Pkwy, Louisville, KY 40204-1512 | 2006-09-22 |
| 1720186562 | Holly Jo Lewis | Physical Therapist | 2624 Ring Rd, Suite 101, Elizabethtown, KY 42701-9118 | 2006-09-20 |
| 1447226964 | Nikki Lynn Butler | Physical Therapist | 450 Joel Dr., Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2006-02-24 |
| 1689671661 | Amy M Herr | Physical Therapist | 471 Klutey Park Plaza Dr, Henderson, KY 42420-3347 | 2005-07-05 |
| 1962407122 | Shauna M Sybert | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2005-06-15 |
| 1770128183 | Andrew Blake Copass | Physical Therapist | 1410 N Race St, Glasgow, KY 42141-3473 | 2019-11-08 |
| Find all providers with the same taxonomy | ||||
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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.