GARY SHIELDS (NPI# 1396304937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396304937 |
| Entity Type | Individual |
| Full Name | GARY SHIELDS |
| Credential | DPT |
| Practice Address |
6908 N Santa Monica Blvd Fox Point WI 53217-3942 |
| Mailing Address |
1805 Shepherd Ct Waukesha WI 53186-1456 |
| Practice Telephone | 4143522082 |
| Mailing Telephone | 2622716523 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073535456 | Gary N Shields | Podiatrist | 340 Bantam Rd, Suite 1-b, Litchfield, CT 06759-3318 | 2006-07-24 |
| 1447218565 | Gary Darell Shields | Physical Therapist | 3740 W Chester Pike, Newtown Square, PA 19073-3223 | 2006-05-01 |
| 1497228894 | Gary Edward Shields | Registered Nurse | 614 Cooper Hill Rd, Wynantskill, NY 12198-2906 | 2019-01-08 |
| Street Address |
6908 N SANTA MONICA BLVD |
| City | FOX POINT |
| State | WI |
| Zip Code | 53217-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406544 | Freedom Physical Therapy Services Sc | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2005-09-09 |
| 1407312309 | Adrienne Loukopoulos | Occupational Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2019-02-15 |
| 1225516693 | Nicole Guy | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2018-07-29 |
| 1295256576 | Kassandra Kimichik | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2017-06-27 |
| 1215342712 | Erin E Bafunno | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2014-06-24 |
| 1659719342 | Rebekah K Pogwizd | Occupational Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2013-06-05 |
| 1689936973 | Nathan T Paschke | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2012-06-12 |
| 1184939316 | Kalin Vt Albrecht | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2010-08-12 |
| 1396918231 | Molly R Rittberg | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2008-04-11 |
| 1780884056 | Evan Nelson | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256576 | Kassandra Kimichik | Physical Therapist | 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
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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.