SHANTI T DALSON (NPI# 1881085967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881085967 |
| Entity Type | Individual |
| Full Name | SHANTI T DALSON |
| Credential | DPT |
| Practice Address |
1815 E Ireland Rd South Bend IN 46614-2845 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471700 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 05010469A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
05010469A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS BMG IRELAND RD | 000000915279 | 01 |
| IN | 201276420 | 05 |
| Street Address |
1815 E IRELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733101 | Douglas Mayer David | Family Medicine | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2005-10-06 |
| 1699322446 | Evelin Keultjes | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2019-08-26 |
| 1548766249 | Dena Nichole Garnett | Physical Therapist | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2018-04-02 |
| 1467909697 | Sarah Anne Martin | Physician Assistant | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2016-09-06 |
| 1245685510 | Kristin Jamison | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2016-04-25 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1144660838 | Amanda Leanne Springer | Family Medicine | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2013-06-27 |
| 1225321722 | Luiz C Pantalena Filho | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2011-05-17 |
| 1437388220 | Jill M. Maddox | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2009-07-14 |
| 1518123124 | Daniel Matthew Kinney | Pediatrics | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2008-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| 1760766968 | John Thomas Miller | Pharmacist | 1010 E Ireland Rd, South Bend, IN 46614 | 2011-10-06 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1912521378 | Andrew John Findley | Physical Therapist | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2020-06-02 |
| 1568982437 | Erin Yeoman | Physical Therapist | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2017-06-22 |
| 1538553797 | Blair Johnson | Physical Therapist | 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 | 2015-03-26 |
| 1679916506 | Katharine L Gaj | Physical Therapist | 100 Wellness Center, South Bend, IN 46556 | 2013-04-10 |
| 1609063908 | Praveen Putlur | Physical Therapist | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2007-10-01 |
| 1063502847 | Kathryn L. Werda | Physical Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682768 | Jenette Kern | Physical Therapist | 8902 N Meridian St Ste 120, Indianapolis, IN 46260-5306 | 2019-08-01 |
| 1053977355 | Benjamin Scott England | Physical Therapist | 12912 Coldwater Rd Ste 9c, Fort Wayne, IN 46845-8870 | 2019-05-13 |
| 1982267522 | Josh James Weyer | Physical Therapist | 5925 Kingsley Dr, Indianapolis, IN 46220-2434 | 2019-04-18 |
| 1881117059 | Eric Oberst | Physical Therapist | 70 Brendon Way, Zionsville, IN 46077-1945 | 2017-07-19 |
| 1881067924 | Adam Kays | Physical Therapist | 15151 Tiki Trl, Noblesville, IN 46060-4625 | 2015-11-12 |
| 1538595806 | Jennifer Elizabeth Guillen | Physical Therapist | 12800 Missippi Parkway, Suite A101, Crown Point, IN 46307 | 2013-09-18 |
| 1902158728 | Natalie Marshall | Physical Therapist | 109 N Union St, Westfield, IN 46074-9459 | 2012-10-03 |
| 1033493622 | Jonathan Evans | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2011-10-01 |
| 1619257698 | Stacey Reith | Physical Therapist | 8150 Oaklandon Rd Ste 111, Indianapolis, IN 46236-9554 | 2011-08-23 |
| 1710201108 | Ellen Anne Schemmel | Physical Therapist | 5302 Turkey Foot Rd, Zionsville, IN 46077-8739 | 2010-03-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on SHANTI T DALSON.
| 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.