SHANNON HALSTEAD (NPI# 1104389980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104389980 |
| Entity Type | Individual |
| Full Name | SHANNON HALSTEAD |
| Practice Address |
4202 N 20th Ave Phoenix AZ 85015-5101 |
| Mailing Address |
3713 N 125th Dr Avondale AZ 85392-6317 |
| Practice Telephone | 6022643824 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | LPT-008573 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4202 N 20TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285741587 | Dina I Zaza IIi | Physical Medicine & Rehabilitation | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2006-08-23 |
| 1629676135 | Nicole Alison Fukuzawa | Occupational Therapist | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2020-10-16 |
| 1063975720 | Louis Bartlo IIi | Physical Therapist | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2019-04-10 |
| 1437612223 | Rachel Knowles | Occupational Therapist | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2019-04-09 |
| 1215383237 | Haven of Phoenix LLC | Skilled Nursing Facility | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2016-05-09 |
| 1518308592 | Zaza Rehabmd LLC | Physical Medicine & Rehabilitation | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2013-07-08 |
| 1275712002 | Phoenix Healthcare LLC | Skilled Nursing Facility | 4202 N 20th Ave, Phoenix, AZ 85015-5101 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| 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 |
|---|---|---|---|---|
| 1093321895 | Launch Physical Therapy & Performance Center, LLC | Physical Therapist | 1500 E Thomas Rd Unit 110, Phoenix, AZ 85014-5708 | 2020-09-17 |
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1255943874 | Clarke B Antonio | Physical Therapist | 11225 N 28th Dr # Srf100, Phoenix, AZ 85029-5606 | 2020-08-17 |
| 1174133805 | Samuel Curtis | Physical Therapist | 4050 E Cotton Center Blvd Ste 18, Phoenix, AZ 85040-8862 | 2020-08-06 |
| 1548878572 | Rachel Lynn Wood | Physical Therapist | 1860 N 95th Ln Ste 105, Phoenix, AZ 85037-4333 | 2020-07-15 |
| 1821615303 | Nicholas Johnston | Physical Therapist | 4550 N Black Canyon Hwy, Phoenix, AZ 85017-3714 | 2020-06-30 |
| 1568088979 | Alexandra Ashby | Physical Therapist | 2229 N 17th Ave, Phoenix, AZ 85007-1403 | 2020-06-22 |
| 1508490301 | Lisa Ann Viscuso | Physical Therapist | 13 Cooperstown Ct, Phoenix, MD 21131-1328 | 2020-03-02 |
| 1487287496 | Ulrich Ernst Grigo | Physical Therapist | 14431 S 43rd Pl, Phoenix, AZ 85044-6127 | 2020-02-18 |
| 1750914941 | Kevin D Allen | Physical Therapist | 2005 W Happy Valley Rd Ste 170, Phoenix, AZ 85085-2898 | 2020-02-17 |
| Find all providers in PHOENIX | ||||
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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.