MR. SHANE MICHAEL LAWLER (NPI# 1528013398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528013398 |
Entity Type | Individual |
Full Name | MR. SHANE MICHAEL LAWLER |
Credential | PT |
Practice Address |
104 Jungerman Rd Suite F St Peters MO 63376 |
Mailing Address |
3868 Mexico Rd St Charles MO 63303 |
Practice Telephone | 6369262641 |
Practice Fax Number | 6369263385 |
Mailing Telephone | 6369260408 |
Mailing Fax Number | 6369260295 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2000157231 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
104 JUNGERMAN RD SUITE F |
City | ST PETERS |
State | MO |
Zip Code | 63376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
Find all providers in zip 63376 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922605591 | Brendan Lee Thompson | Physical Therapist | 8356 Musick Memorial Dr, Saint Louis, MO 63144-2914 | 2020-10-06 |
1295349520 | Katie Bader | Physical Therapist | 118 Richardson Xing, Arnold, MO 63010-6023 | 2020-09-03 |
1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
1124656574 | Richard Dean Maas | Physical Therapist | 2230 W Sunset St, Springfield, MO 65807-5980 | 2020-03-31 |
1063059780 | Adam Sparks | Physical Therapist | 722 N State Highway 47 Ste A, Warrenton, MO 63383-1108 | 2019-12-01 |
1366928350 | Jeffrey D Bundrick | Physical Therapist | Whiteman Air Force Base, Knob Noster, MO 65305 | 2018-07-13 |
1982125944 | Zachary T Winchester | Physical Therapist | 3860 Vogel Rd, Arnold, MO 63010-3776 | 2017-06-29 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1003271487 | Scott Lawrence Jones | Physical Therapist | 912 W 78th St, Kansas City, MO 64114-1761 | 2015-12-29 |
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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.