SHANNON WARD HENNE (NPI# 1073700811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700811 |
| Entity Type | Individual |
| Full Name | SHANNON WARD HENNE |
| Credential | PT |
| Practice Address |
2449 3rd St S Jacksonville Beach FL 32250 |
| Mailing Address |
2449 3rd St S Jacksonville Beach FL 32250-4066 |
| Practice Telephone | 6784914729 |
| Mailing Telephone | 6784914729 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 30024 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 Holcomb Bridge Rd, Suite 304, Roswell, GA 300763481 | 6783811507 |
| Street Address |
2449 3RD ST S |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807375 | Coremotion Wellness | Clinic/Center | 2449 3rd St S, Jacksonville Beach, FL 32250-4066 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| 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 |
|---|---|---|---|---|
| 1942719935 | Tawnie Crowe | Physical Therapist | 350 13th Ave S, Jacksonville Beach, FL 32250-5024 | 2017-09-22 |
| 1356878680 | Timothy Daniel Walters II | Physical Therapist | 1700 The Greens Way, Jacksonville Beach, FL 32250-2494 | 2017-05-17 |
| 1003367202 | Michael Ryan | Physical Therapist | 1312 3rd St N, Jacksonville Beach, FL 32250-7348 | 2016-10-23 |
| 1598190456 | Katherine Burrows | Physical Therapist | 1320 Roberts Dr Ste 100, Jacksonville Beach, FL 32250-3253 | 2013-09-11 |
| 1417198987 | Donyelle M Losee | Physical Therapist | 333 First Street Noruth, Suite 200, Jacksonville Beach, FL 32250 | 2009-03-13 |
| 1124280755 | Brad D Gillette | Physical Therapist | 1719 1st St N, Jacksonville Beach, FL 32250-7411 | 2008-06-25 |
| 1497921159 | Joanne Goulet | Physical Therapist | 1320 Roberts Dr, Jacksonville Beach, FL 32250-3253 | 2008-05-02 |
| 1407031750 | Shiro Iwae | Physical Therapist | 1401 Penman Rd, Suite C, Jacksonville Beach, FL 32250 | 2008-01-07 |
| 1104048461 | Erica Beth Beter | Physical Therapist | 333 First Street North, Suite 200, Jacksonville Beach, FL 32250-6939 | 2007-05-03 |
| 1003032897 | Healthwave Inc | Physical Therapist | 1401 Penman Rd Ste C, Jacksonville Beach, FL 32250-3647 | 2007-04-18 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.