Shore Home Physical Therapy LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

40QA01400900 Issued in NJ

Legal business name

SHORE HOME PHYSICAL THERAPY LLC

Practice address

107 S Hampton PL
Brick, NJ 08724-3862

Phone

(732) 672-9554

Fax

(732) 295-1749

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Carlisle, D.P.T.

Title

Owner/Physical Therapist

Phone

(732) 672-9554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1154784239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S HAMPTON PL",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S HAMPTON PL",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243862",
            "telephone_number": "732-672-9554",
            "fax_number": "732-295-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-672-9554",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "40QA01400900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shining Star Dialysis Inc
• Shore Cardiology Consultants LLC
• Shore Chiropractic LLC
• Shore Eye Associates PA
• Shore Family Practice LLC
• Shore House Calls
• Shore Points Oral Surgery & Implant Center LLC
• Shore Psychiatric Associates LLC
• Shore Psychological Healthcare LLC
• Shore Radiation Oncology, LLC.

• All providers in Brick, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.