ZACHARY SHINE (NPI# 1639643372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639643372 |
| Entity Type | Individual |
| Full Name | ZACHARY SHINE |
| Credential | PTA |
| Practice Address |
19395 W Capitol Dr Ste 200 Brookfield WI 53045-2736 |
| Practice Telephone | 2629237101 |
| Practice Fax Number | 2629237178 |
| Mailing Telephone | 2629237101 |
| Mailing Fax Number | 2629237178 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2764 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19395 W CAPITOL DR STE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841473782 | Stacey Ter Maat | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2007-12-14 |
| 1043844962 | Kenneth Siebels | Occupational Therapist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-02-29 |
| 1174163570 | Claire Sterr | Speech-Language Pathologist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-14 |
| 1780224147 | Pa Youa Yang | Occupational Therapist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-13 |
| 1093355778 | Salvatore Frank Galante | Occupational Therapist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-10 |
| 1144860818 | Cari Ringenoldus | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-10 |
| 1255971941 | Jessamyn Reiter | Speech-Language Pathologist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-09 |
| 1245870104 | Amanda Rose Nachtwey Fritsch | Occupational Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2020-01-08 |
| 1245895820 | Aimee Michelle Call | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2019-05-08 |
| 1316502156 | Sydney E Blickhahn | Speech-Language Pathologist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1598317349 | Anneliese Victoria Cervantes | Physical Therapy Assistant | 8605 Washington Ave, Brookfield, IL 60513-1422 | 2019-07-11 |
| 1184181356 | Autumn R Lindsay | Physical Therapy Assistant | 28128 Highway F, Brookfield, MO 64628-8248 | 2019-02-25 |
| 1780155069 | Kathleen Lorraine Alfano | Physical Therapy Assistant | 15 Hickory Hill Rd, Brookfield, CT 06804-1512 | 2018-12-11 |
| 1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
| 1841735644 | Dana Balek | Physical Therapy Assistant | 4020 Custer Ave, Brookfield, IL 60513-2118 | 2017-01-03 |
| 1861809535 | Tyler Loesl | Physical Therapy Assistant | 240 S Rolland Rd, Brookfield, WI 53005-6320 | 2014-07-15 |
| 1154680387 | Robert Sonderby | Physical Therapy Assistant | 3440 Madison Ave, Brookfield, IL 60513-1266 | 2012-05-08 |
| 1588933386 | Jacey Lynne Mohr | Physical Therapy Assistant | 116 E Pratt, Brookfield, MO 64628 | 2011-12-22 |
| 1457633950 | Tamara Herrera | Physical Therapy Assistant | 4601 Grove Ave, 3, Brookfield, IL 60513-2553 | 2011-09-12 |
| 1841473782 | Stacey Ter Maat | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2007-12-14 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.