GAIL HERNDON FENNIMORE (NPI# 1184684920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184684920 |
| Entity Type | Individual |
| Full Name | GAIL HERNDON FENNIMORE |
| Credential | PT |
| Practice Address |
4012 Park Rd Suite 200 Charlotte NC 28209-2377 |
| Practice Telephone | 7043324834 |
| Practice Fax Number | 7043729653 |
| Mailing Telephone | 7043324834 |
| Mailing Fax Number | 7043729653 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1063 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED HEALTHCARE | 64-42619 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 0103C | 01 |
| NC | 7211539 | 05 | |
| NC | FEDERAL TAX ID | 56-1480824 | 01 |
| Street Address |
4012 PARK RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125085 | Child and Family Development | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2378 | 2006-02-24 |
| 1780182139 | Sarah Marie Hamilton | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2018-01-30 |
| 1902318728 | Kathleen Condon | Speech-Language Pathologist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2017-11-02 |
| 1457891335 | Cameron Blake Templeton | Physical Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2017-02-27 |
| 1902356264 | Patricia S Dyer | Counselor | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-10-11 |
| 1093176349 | Ashley Costner Kies | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-03-15 |
| 1063898732 | Logan D Carter | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2015-08-05 |
| 1477969434 | Aleksandra Liss | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2014-07-10 |
| 1104255033 | Melissa Petcu | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2013-11-01 |
| 1669800991 | Meghan Davidson-palmer | Occupational Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2013-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| 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 |
|---|---|---|---|---|
| 1891322616 | Lauren Blakey Gass | Physical Therapist | 7320 Brice Knoll Ln # D-305, Charlotte, NC 28269-3435 | 2020-03-23 |
| 1902431539 | Michelle Jane Hughes | Physical Therapist | 8024 Black Forest Ln Apt 11108, Charlotte, NC 28277-6736 | 2020-03-04 |
| 1538793237 | Mary Allison Cargill | Physical Therapist | 1700 N Brevard St Apt 217, Charlotte, NC 28206-3615 | 2020-03-03 |
| 1902436074 | Sarah Sullivan | Physical Therapist | 2120 N Brevard St Apt 147, Charlotte, NC 28206-3657 | 2020-01-17 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1265073423 | Christopher Dyba | Physical Therapist | 6034 Heath Valley Rd, Charlotte, NC 28210-4352 | 2019-09-30 |
| 1558919324 | Briana Packer | Physical Therapist | 5501 Sharon Rd, Charlotte, NC 28210-6357 | 2019-08-26 |
| 1720633258 | Roper Physical Therapy, Inc. | Physical Therapist | 301 E Tremont Ave Ste B, Charlotte, NC 28203-5484 | 2019-08-01 |
| 1770135188 | Parita Joshi | Physical Therapist | 7417 Hidden Creek Dr, Charlotte, NC 28214-8896 | 2019-07-15 |
| 1770147142 | Kelsi Brooke Fabin | Physical Therapist | 1901 Summey Ave, Charlotte, NC 28205-7931 | 2019-04-30 |
| Find all providers in CHARLOTTE | ||||
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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.