| Shane Norman Cardinal, LAT, ATC, DPT | |
|
510 Valley View Dr, Moline, IL 61265-6133 | |
| (309) 762-3621 | |
| Not Available |
| Full Name | Shane Norman Cardinal |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 510 Valley View Dr, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952964686 | NPI | - | NPPES |
| 070025646 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Accelerated Rehabilitation Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Norman Cardinal, LAT, ATC, DPT 2300 53rd Ave, Bettendorf, IA 52722-7564 Ph: (563) 322-0971 | Shane Norman Cardinal, LAT, ATC, DPT 510 Valley View Dr, Moline, IL 61265-6133 Ph: (309) 762-3621 |
Mrs. Margaret Ellen Carton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 36th Ave, Moline, IL 61265 Phone: 309-797-8778 Fax: 309-797-8072 | |
Ms. Gretchen Renae Schroer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 850 43rd Ave Ste 100, Moline, IL 61265 Phone: 309-743-2070 Fax: 309-743-2073 | |
Michelle Snodgrass, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 850 43rd Ave, Suite 100, Moline, IL 61265 Phone: 309-743-2070 Fax: 309-743-2073 | |
Eric R Sacia, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 850 43rd Ave Ste 300, Moline, IL 61265 Phone: 309-743-0300 Fax: 309-743-0318 | |
Ms. Gale Rene' Griffith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4360 7th St, Moline, IL 61265 Phone: 309-762-6676 | |
Nina Golden, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2445 31st Avenue Ct, Moline, IL 61265 Phone: 309-236-3543 | |
Emiley Brand, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 Valley View Dr, Moline, IL 61265 Phone: 309-797-0866 |