SHORE REHABILITATION SERVICES INC (NPI# 1740227651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227651 |
| Entity Type | Organization |
| Organization Name | SHORE REHABILITATION SERVICES INC |
| Practice Address |
9539 Hospital Ave Nassawadox VA 23413 |
| Mailing Address |
Po Box 17 Nassawadox VA 23413-0017 |
| Practice Telephone | 7574148004 |
| Practice Fax Number | 7574148009 |
| Mailing Telephone | 7574148004 |
| Mailing Fax Number | 7574148009 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | ROBERT P YEARTY (CFO VP FINANCE) |
| Authorized Official Telephone | 7574148756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Shore Rehabilitation Services Inc. | 9507 Hospital Ave, Nassawadox, Virginia 23413 |
| Street Address |
9539 HOSPITAL AVE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920805 | Shawn W Butler | Hearing Instrument Specialist | 9502 Hospital Ave., Nassawadox, VA 23413 | 2018-04-30 |
| 1649726522 | John Willis Konkel | Counselor | 10129 Rogers Drive, Nassawadox, VA 23413 | 2016-08-30 |
| 1154694065 | Jeanette M Sessoms | Nurse Practitioner | 9524 Hospital Ave., Nassawadox, VA 23413 | 2012-02-23 |
| 1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
| 1447329370 | Family Practice Associates | Family Medicine | 9506 Hospital Avenue, Nassawadox, VA 23413 | 2006-11-07 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1134212939 | Debra Castner | Nurse Practitioner | 9550 Hospital Ave, Po Box 923, Nassawadox, VA 23413 | 2006-10-02 |
| 1093810384 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9550 Hospital Avenue, Nassawadox, VA 23413 | 2006-09-13 |
| 1346353570 | Federico Fernando Molera | Anesthesiology | 9507 Rogers Ave, Nassawadox, VA 23413 | 2006-08-15 |
| 1710920020 | Rayfield's Pharmacy Inc | Pharmacy | 9502 Hospital Ave, Nassawadox, VA 23413 | 2006-06-14 |
| Find all providers in zip 23413 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164562 | Madeline Summer Seymour | Speech-Language Pathologist | 315 Flyfoot Dr, Stephenson, VA 22656-1795 | 2020-11-05 |
| 1003417635 | Jaclyn Renae Melson | Speech-Language Pathologist | 1201 Broad Rock Blvd Bldg 514, Richmond, VA 23224-4915 | 2020-11-02 |
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1730789090 | Leah Condemi | Speech-Language Pathologist | 1602 Belle View Blvd # 735, Alexandria, VA 22307-6531 | 2020-10-27 |
| 1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
| 1023616786 | Sydney Miller | Speech-Language Pathologist | 115 Summerglen Rdg, Newport News, VA 23602-8319 | 2020-10-15 |
| 1295333433 | Ann Lockard Douthat | Speech-Language Pathologist | 3613 Graham Park Rd, Triangle, VA 22172-1101 | 2020-10-10 |
| 1326646688 | Kariin Timmons | Speech-Language Pathologist | 127 Peachtree Ln, Hampton, VA 23669-2203 | 2020-10-09 |
| 1679170880 | Carrington Croft Mulrooney | Speech-Language Pathologist | 10046 Oldfield Dr, Richmond, VA 23235-1812 | 2020-10-01 |
| 1710594940 | Madison Antus | Speech-Language Pathologist | 15201 Neabsco Mills Rd, Woodbridge, VA 22191-4005 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
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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.