SHORELINE ORTHOPEDIC REHABILITATION (NPI# 1437169687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437169687 |
| Entity Type | Organization |
| Organization Name | SHORELINE ORTHOPEDIC REHABILITATION |
| Practice Address |
12 Bokum Rd Essex CT 06426-1500 |
| Mailing Address |
8259 Wicker Ave Saint John IN 46373-8878 |
| Practice Telephone | 8607679035 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | GREG COOPER (MANAGING PARTNER) |
| Authorized Official Telephone | 2193656560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
12 BOKUM RD |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107176 | Mark David Lorenze | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-05-02 |
| 1700207198 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2014-01-02 |
| 1710264221 | Mary Lou Jones | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-11-11 |
| 1225317118 | Patricia Sparaco | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-08-09 |
| 1184910572 | Kristin Lee Moynihan | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-06-23 |
| 1295057222 | Michele Ann Moy | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2010-02-17 |
| 1033360300 | Bryan Thomas Danna | Physician Assistant | 12 Bokum Rd, Essex, CT 06426-1500 | 2008-10-06 |
| 1376740035 | Alyson Whelan | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2007-06-27 |
| 1063524742 | Keikhosrow Kai Aboulian | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-08-31 |
| 1851408280 | Eric Parnes | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.