Shawn Gardiner

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2386-019 Issued in WI

Practice address

3300 W Brewster St
Appleton, WI 54914-1699

Phone

(920) 832-1657

NPI assigned

Aug 31, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1487021085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WILSON AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034109",
            "telephone_number": "920-386-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W BREWSTER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141699",
            "telephone_number": "920-832-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2386-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ganser, DO
• Laura Lee Christine Ganske, C.O.T.A
• Spencer Riley Gantz
• Alejandro Garcia, M.D.
• Judy Ann Gardiner
• Christopher Gardipee, PHARMD
• Jeremy G Gardner, MD
• Elizabeth M. Garr, M.S., CCC-SLP
• Tori Lynn Garrow, HEALTH COACH
• Garth Point Group, Inc,.

• Physical Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.