Seashore Pointe Rehab Center LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SEASHORE POINTE REHAB CENTER LLC

Practice address

100 Alden St
Provincetown, MA 02657-1456

Phone

(508) 487-0771

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By 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

Danielle Tsitos

Title

Regional Business Office Manager

Phone

(781) 588-0969

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Seashore Pointe Rehab Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seashore Pointe Rehab Center LLC

  • Skilled Nursing Facility
  • Provincetown, MA
  • NPI 1093365322
  NPD tax ID

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1114594462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALDEN ST",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571456",
            "telephone_number": "781-588-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALDEN ST",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571456",
            "telephone_number": "508-487-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE POINTE REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "TSITOS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "REGIONAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "781-588-0969"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110157998A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dtsitos@Adviniacare.com",
            "affiliation": "N",
            "address_1": "100 Alden St",
            "city": "Provincetown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026571456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seashore Point
• Seashore Point - Deaconess Inc
• Seashore Point Wellness and Rehab
• Seashore Point-Deaconess, Inc. (Seashore Point Wellness & Rehabilitation)
• Seashore Pointe Rehab Center LLC
• Zumm Serrano
• Jennifer Louise Shannon, MSW, LICSW
• William E Shay, MD
• Brian J Sheerin, LICSW
• Stillwater Therapy LLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Provincetown, MA
• Providers in Provincetown, MA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.