Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shayne J Bollheimer

Individual provider Physical Therapy Assistant · NPI 1346001963

Shayne J Bollheimer is a Physical Therapy Assistant in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

1022 E Wesley Dr
O Fallon, IL 62269-6107
Phone: (618) 744-6613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160003017 (IL)

Record details

NPI number1346001963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 20, 2024
Mailing address49 Walnut Cir, Aviston, IL 62216-3537

Other providers in O Fallon