Shore Golf Performance & Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SHORE GOLF PERFORMANCE & PHYSICAL THERAPY

Doing business as

Shore Golf Performance

Practice address

69 Burlingame Rd
Cranston, RI 02921-2904

Phone

(252) 398-7457

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Edwards, DPTNPI 1740728435

Title

Physical Therapist

Phone

(252) 398-7457

Specialties & licenses 1

Addresses

Other names 1

• Shore Golf Performance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Edwards, DPT

  • Physical Therapist
  • Cranston, RI
  • NPI 1740728435
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1073257184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 POST RD",
            "address_2": "SUITE 114 - PMB #362",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "252-398-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BURLINGAME RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029212904",
            "telephone_number": "252-398-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE GOLF PERFORMANCE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "252-398-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Golf Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ann Sheehan, MSW, LICSW
• Douglas Shehan, LCDP
• Patricia Joanne Sheridan, PT
• Arianna Marie Sherman
• Ibrahim Ahmed Shihadeh, D.M.D.
• Mir Ayesha Siddiqua, DDS
• Carlos E Silva
• Cassandra Elizabeth Silva, BA, LCDP
• Dina Silva, LMHC
• Jessica Leigh Silva, PHARMD, RPH, CDOE

• Orthopedic Physical Therapist in Cranston, RI
• Providers in Cranston, RI by specialty
• Orthopedic Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.