Hailey I Shore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02943 Issued in RI

Practice address

49 Seekonk St
Providence, RI 02906-5176

Phone

(401) 230-1126

Fax

(401) 230-1128

NPI assigned

Aug 9, 2016

Last updated

Dec 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy PCGroup PAC ID 6406022078, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.17 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

87.22

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Novato, CA
  • NPI 1255508453

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1033663943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SEEKONK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065176",
            "telephone_number": "401-230-1126",
            "fax_number": "401-230-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "HAILEY",
        "middle_name": "I",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Quinn Shirey, M.ED
• Yetunde Oluwatoyin Shittu, NP
• Ghadeer Naji Shnawa, MD
• Shobar Perinatal Support
• Jesuloluwa Shodipo
• Heather Shore, LMHC-A
• Rebecca Marie Shore, OTR/L
• Trisha A Shotzberger, MS, CCC-SLP
• Tara Hannah Shouldis
• Aaron Shown, LSW

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.