IndividualActive
Shayne Bollheimer
NPI 1346001963 · Physical Therapy Assistant · O Fallon, IL
Provider details
- NPI number
- 1346001963
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 160003017 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1022 E Wesley Dr
O Fallon, IL 62269-6107
Phone: (618) 744-6613
Street-level locationGet directions
Mailing address
49 Walnut Cir
Aviston, IL 62216-3537
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
- Certified
- 2024-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.