MRS. KIMBERLY ANNE SHORE (NPI# 1588816417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588816417 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANNE SHORE |
| Credential | PT |
| Practice Address |
142 Bermuda Village Dr Advance NC 27006-7867 |
| Mailing Address |
224 Longwood Dr Advance NC 27006-6785 |
| Practice Telephone | 3369406433 |
| Practice Fax Number | 3369406235 |
| Mailing Telephone | 3369980758 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8633 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942277603 | Kimberly Joanne Shore | Specialist | 110 Buttercup Trl, Anderson, SC 29621-4474 | 2006-03-01 |
| 1316131394 | Kimberly Shore | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2007-09-01 |
| Street Address |
142 BERMUDA VILLAGE DR |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-7867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174687586 | Bermuda Village Retirement Center Limited Partnership | Nursing Facility/Intermediate Care Facility | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2006-12-20 |
| 1285261792 | John Ralph Lerro Jr | Physical Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2020-03-25 |
| 1083174635 | Jonah Lytch | Occupational Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2019-03-20 |
| 1821523663 | Amanda Spencer | Physical Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2017-05-01 |
| 1801291323 | Benjamin Hoover | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2014-10-27 |
| 1356789606 | Casey Leigh Luffman | Physical Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2013-06-10 |
| 1245504513 | Donna S Johnson | Physical Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2012-03-02 |
| 1578831020 | Jaclyn Christofferson | Occupational Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2011-12-12 |
| 1912296807 | Kerry Eileen Eisinger | Occupational Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2011-03-31 |
| 1982902136 | Kristen Powell Blakley | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2011-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1831411958 | Anthony D Jones | Physical Therapist | 142 Bermuda Village, Advance, NC 27106 | 2010-02-16 |
| 1124204250 | Kevin Dean Mullis | Physical Therapist | 153 Parkview Ln, Advance, NC 27006-8777 | 2008-01-18 |
| 1801291323 | Benjamin Hoover | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2014-10-27 |
| 1982902136 | Kristen Powell Blakley | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2011-03-10 |
| 1952610230 | Michelle Reynolds Lamoureux | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2010-10-04 |
| 1104009588 | Linda Kirk Manthey | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2007-12-09 |
| 1609064708 | Deborah Woodburn Marshall | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2007-10-15 |
| 1104011758 | Gina G. Reece | Physical Therapist | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2007-09-06 |
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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.