MR. SHAWN MICHEAL MINICK (NPI# 1164558276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164558276 |
| Entity Type | Individual |
| Full Name | MR. SHAWN MICHEAL MINICK |
| Credential | PT |
| Practice Address |
218 Old Mocksville Rd Statesville NC 28625-1930 |
| Mailing Address |
449 N Wendover Rd Ste B Charlotte NC 28211-1064 |
| Practice Telephone | 7048387620 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2016-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9416 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
218 OLD MOCKSVILLE RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967011 | Elisabeth M Robertson | Anesthesiology | 218 Old Mocksville Rd, Anesthesia Dept, Statesville, NC 28625-1930 | 2006-01-23 |
| 1649806936 | Amanda Haymore Coble | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2020-03-18 |
| 1437708583 | Ashley Nicole Hollifield | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2019-09-10 |
| 1649636085 | Regional Physicians LLC | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2016-01-14 |
| 1760854210 | Sarah Cochran Barker | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-10-23 |
| 1356710032 | Iredell County Group Services, Pllc | Hospitalist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-09-23 |
| 1275914046 | Cornerstone Health Care Pa | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-06-17 |
| 1184060717 | Statesville Hma Medical Group LLC | Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-05-22 |
| 1194168161 | Andrew Venters Owens | Psychiatry & Neurology | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-04-09 |
| 1376881904 | Thierry Mitchel Mallet | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235214180 | Jeffrey James Faulk Jr. | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on MR. SHAWN MICHEAL MINICK.
| 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.