Shine Rehab LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

SHINE REHAB LLC

Practice address

614 N Freeman St
Oceanside, CA 92054-2417

Phone

(321) 274-2745

NPI assigned

Oct 25, 2019

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Griffis, PTNPI 1134579394

Title

Principal

Phone

(321) 274-2745

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Griffis

  • Physical Therapist
  • Oceanside, CA
  • NPI 1134579394
  Authorized official Same address or phone

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1093358657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N FREEMAN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N FREEMAN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542417",
            "telephone_number": "321-274-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "321-274-2745",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shim, M.D.
• Maya Marie Shimamura, PT, DPT
• Susan Shimomaye, MD
• Shin Foot and Ankle Specialists, Inc
• Shin Foot and Ankle Specialists, Inc.
• Collette Anne Shirley
• Nina Raine Shonley
• Charito Adle Shook
• Shores Hospice LLC
• Parul Shridhar, DDS

• Geriatric Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.