COBURN SHANK (NPI# 1558478263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558478263 |
| Entity Type | Individual |
| Full Name | COBURN SHANK |
| Other Name | COBY SHANK |
| Credential | MSPT |
| Practice Address |
1601 Nw 114th St Suite 155 Clive IA 50325-7007 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5152227350 |
| Practice Fax Number | 5152227355 |
| Mailing Telephone | (515) 222-7350 |
| Mailing Fax Number | 5152227355 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 02418 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0452409 | 05 |
| Street Address |
1601 NW 114TH ST SUITE 155 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890611 | Deborah Huber | Nurse Practitioner | 1601 Nw 114th St, Ste 342, Clive, IA 50325-7036 | 2005-06-09 |
| 1578049367 | Elizabeth Rachel Pedersen | Pharmacist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2018-07-14 |
| 1689093551 | Andrea Reser | Physical Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7007 | 2014-04-08 |
| 1346580735 | Mercy Clinics, Inc | Occupational Therapist | 1601 Nw 114th St, Clive, IA 50325-7007 | 2013-02-21 |
| 1942597315 | Serenity Women's Clinic | Obstetrics & Gynecology | 1601 Nw 114th St, Suite 334, Clive, IA 50325-7007 | 2011-07-06 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1689906448 | Kellie Vermett | Specialist/Technologist, Other | 1601 Nw 114th St, Suite 244, Clive, IA 50325-7007 | 2010-02-04 |
| 1538390810 | Janet Lebsack | Occupational Therapist | 1601 Nw 114th St, Suite 155, Clive, IA 50325-7046 | 2009-08-04 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1629229091 | Karen Kraemer | Audiologist | 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1891287454 | Courtney Buhrow | Physical Therapist | 1300 Nw 100th St Ste 100, Clive, IA 50325-6700 | 2018-05-30 |
| 1952755753 | Jillian Mcdonnell | Physical Therapist | 12499 University Ave Ste 250, Clive, IA 50325-8271 | 2016-04-18 |
| 1720452048 | Adam Puls | Physical Therapist | 1300 Nw 100th St Ste 1000, Clive, IA 50325-6702 | 2015-11-24 |
| 1497906200 | Scott Michael Hudson | Physical Therapist | 1735 Nw 123rd St, Clive, IA 50325-8137 | 2008-10-10 |
| 1609879212 | Terri Sue Cullison | Physical Therapist | 12493 University Ave, Clive, IA 50325-8286 | 2005-05-27 |
| 1255973822 | Julia Wiener | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2019-10-15 |
| 1376190843 | Nathan O'neill | Physical Therapist | 12499 University Ave Ste 250, Clive, IA 50325-8271 | 2019-08-20 |
| 1003461690 | Annette Bosman | Physical Therapist | 12499 University Ave Ste 250, Clive, IA 50325-8271 | 2019-08-09 |
| 1629554191 | Erica Nease | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2018-07-17 |
| 1881185056 | Andrew James Malone | Physical Therapist | 12493 University Ave, Clive, IA 50325-8286 | 2018-05-23 |
| Find all providers in CLIVE | ||||
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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.