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Active NPI 1932363736 Individual Practitioner Male Practitioner

Shane Burgess , COTA, L

Skilled Nursing Facility • Paris, IL

Professional Overview & Biography Verified Profile Summary

Shane Burgess, COTA, L is a registered healthcare professional specializing in Skilled Nursing Facility in Paris, IL. Practice services are available at 310 S EADS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 S Eads Ave

Paris, IL 619441938

Telephone 2174655395
Associated Practice Facility / Clinic
🏢 Dsi Partners Llc Facility NPI 1114915410

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Paris, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Paris, IL (42 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

State License IL 057.002001

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Emily Mclaughlin , PTA

Physical Therapy Assistant

NPI 1609535913

Physical Therapist Assistant

Kaitlin Korte , MS, CF-SLP

Speech-Language Pathologist

NPI 1821631755

Master of Science, Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2008

Registered at 310 S EADS AVE, PARIS, IL 619441938 (Tel: 2174655395)

📍
Updated Business Mailing Address July 11, 2008

Registered at 3812 WESTERN AVE, MATTOON, IL 619382044 (Tel: 2172733998)

👤
Provider Name / Credentials Updated July 11, 2008

Recorded as SHANE BURGESS, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2008

Skilled Nursing Facility (License #057.002001 in IL)

🟢
Initial NPI Registration & Enumeration July 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932363736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2008
Last Update: July 11, 2008
Sole Proprietor: Yes

Mailing Address

3812 Western Ave

Mattoon, IL 619382044

Phone: 2172733998

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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