DR. SHAWN PHILLIP MASKALICK (NPI# 1255836086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255836086 |
| Entity Type | Individual |
| Full Name | DR. SHAWN PHILLIP MASKALICK |
| Credential | PT, DPT |
| Practice Address |
4813 Taylorsville Rd Taylorsville KY 40071-9739 |
| Mailing Address |
777 John Austin Ln Mount Washington KY 40047-6355 |
| Practice Telephone | 5024770300 |
| Mailing Telephone | 5024287573 |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
006899 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4813 TAYLORSVILLE RD |
| City | TAYLORSVILLE |
| State | KY |
| Zip Code | 40071-9739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669590774 | Bg House Enterprises Inc | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-03-27 |
| 1750504767 | Becky Gay House | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322841 | Debbie Long | Registered Nurse | 88 Spears Drive, Taylorsville, KY 40071 | 2016-08-28 |
| 1679869184 | Matthew Alan Bormann | Dentist | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2011-06-22 |
| 1023325594 | Patrick Daniel Bray | Physical Therapist | 4813 Taylorsville Rd., Taylorsville, KY 40071 | 2010-09-07 |
| 1043522584 | Ernest John Kettig | Durable Medical Equipment & Medical Supplies | 206 Taylorsville Rd., Ste. A, Taylorsville, KY 40071 | 2010-07-13 |
| 1922202480 | Kristen Smotherman | Counselor | 73 East Main Street, Taylorsville, KY 40071 | 2007-06-11 |
| 1346263324 | Scpg Kentucky LLC | Pharmacy | 847 Taylorsville Rd, Taylorsville, KY 40071 | 2006-07-25 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1023080884 | North Central District Health Dept. | Public Health or Welfare | 88 Spears Dr, Taylorsville, KY 40071 | 2006-02-06 |
| 1801343140 | Melissa Ann Hines | Nurse Practitioner | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2016-09-03 |
| 1235326588 | Melissa Thomas | Physician Assistant | 870 Taylorsville Road, Taylorsville, KY 40071 | 2007-10-01 |
| Find all providers in zip 40071 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1184281107 | Shannon Lee Higginson | Physical Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1619492279 | Madisson Turner | Physical Therapist | 708 Westport Rd Ste 200, Elizabethtown, KY 42701-3818 | 2017-08-04 |
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1013272913 | Stacy Renee Downs | Physical Therapist | 4121 Shelbyville Rd., Suite 7, Louisville, KY 40207 | 2012-07-07 |
| 1326147364 | Patricia Jo Metten | Physical Therapist | 1404 Eastern Pkwy, Louisville, KY 40204-1512 | 2006-09-22 |
| 1720186562 | Holly Jo Lewis | Physical Therapist | 2624 Ring Rd, Suite 101, Elizabethtown, KY 42701-9118 | 2006-09-20 |
| 1447226964 | Nikki Lynn Butler | Physical Therapist | 450 Joel Dr., Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2006-02-24 |
| 1689671661 | Amy M Herr | Physical Therapist | 471 Klutey Park Plaza Dr, Henderson, KY 42420-3347 | 2005-07-05 |
| 1962407122 | Shauna M Sybert | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2005-06-15 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 40071 |
Please comment or provide details below to improve the information on DR. SHAWN PHILLIP MASKALICK.
| 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.