MICHAEL SHAFFER (NPI# 1174142780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174142780 |
| Entity Type | Individual |
| Full Name | MICHAEL SHAFFER |
| Credential | PT, ATC, OCS |
| Practice Address |
2701 Prairie Meadow Dr Iowa City IA 52242-8001 |
| Practice Telephone | 3194678220 |
| Mailing Telephone | 3194678220 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
02553 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740654318 | Michael Shaffer | Student in an Organized Health Care Education/Training Program | 5109 N 49th St, Ruston, WA 98407-3024 | 2015-11-19 |
| 1255641320 | Michael C Shaffer | Chiropractor | 28 Park Row, Chatham, NY 12037-1210 | 2010-10-07 |
| 1811154909 | Michael Shaffer | Family Medicine | 17853 State Route 31 Ste B, Marysville, OH 43040-8835 | 2008-05-17 |
| 1558473611 | Michael H Shaffer | Social Worker | 5431 W Hillsdale, Visalia, CA 93291 | 2006-08-31 |
| 1275599896 | Michael C Shaffer | Chiropractor | 2663 Airport Rd S, Ste D104, Naples, FL 34112-4875 | 2006-04-22 |
| 1417949983 | Michael D Shaffer | Family Medicine | 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 | 2005-08-19 |
| 1043579857 | Michael J Shaffer | Dentist | 1469 Merrick Ave, Merrick, NY 11566-1602 | 2012-05-14 |
| 1598075277 | Michael P Shaffer | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2010-10-15 |
| 1619926615 | Michael Wayne Shaffer | Counselor | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-08 |
| Street Address |
2701 PRAIRIE MEADOW DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750354031 | Matthew Richard Doyle | Specialist/Technologist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2006-02-08 |
| 1902425259 | Katherine Ellen Ryan | Physical Therapy Assistant | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-15 |
| 1972122463 | Kolleen Casey Shields | Physical Therapist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-14 |
| 1750900387 | Auriel Luna | Physical Medicine & Rehabilitation | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-14 |
| 1437778040 | Jon Raymond Lueth | Physical Therapist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-14 |
| 1134754500 | Rebecca Marie Mallon | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-03-06 | |
| 1518590520 | William R Saul | Specialist/Technologist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-02-18 |
| 1528477239 | Anthony Pennuto | Specialist/Technologist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2014-08-06 |
| 1770998791 | Jema Swanson | Specialist/Technologist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2014-06-27 |
| 1588000798 | Ryan C Kruse | Orthopaedic Surgery | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1437778040 | Jon Raymond Lueth | Physical Therapist | 2701 Prairie Meadow Dr, Iowa City, IA 52242-8001 | 2020-04-14 |
| 1063031797 | Amanda C Paulson | Physical Therapist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073219 | Kelsey Castek | Physical Therapist | 905 29th Ave Ste 140, Marion, IA 52302-1138 | 2020-11-02 |
| 1841856762 | Kaizen Health and Wellness Pllc | Physical Therapist | 3502 Nw 17th St, Ankeny, IA 50023-1054 | 2019-05-16 |
| 1356709224 | Melony Gerber | Physical Therapist | 234 West St S Unit 4, Grinnell, IA 50112-8160 | 2016-02-05 |
| 1689822488 | The Physical Therapy Center, PC | Physical Therapist | 1747 E. 54th St., Davenport, IA 52807-2769 | 2008-09-04 |
| 1447434659 | Thomas Physical Therapy Professionals LLC | Physical Therapist | 20 W 6th St # 101, Spencer, IA 51301-3901 | 2007-12-24 |
| 1679793251 | Pamela Ann Duffy | Physical Therapist | 2833 J Ave, Adel, IA 50003-8260 | 2007-04-26 |
| 1861597478 | Todd David Neighbor | Physical Therapist | 740 N 15th Ave, Hiawatha, IA 52233-2384 | 2006-09-14 |
| 1609971225 | Amber Lynn Dostal | Physical Therapist | 4700 Tama St Se, Suite 700, Cedar Rapids, IA 52403-4556 | 2006-09-14 |
| 1558466185 | Ashlee Erin Fandel | Physical Therapist | 400 Collins Rd Ne, Cedar Rapids, IA 52498-0505 | 2006-09-14 |
| 1194735043 | Melissa Etten | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2006-08-09 |
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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.