NPIMap

Organization Active NPI

Shoreline Rehabilitation Services, LLC

  • Physical Therapy Assistant
  • Nelsonia, VA
National Provider Identifier
1174511968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306602072 Issued in VA
Legal business name
SHORELINE REHABILITATION SERVICES, LLC
Practice address
17405 Lankford Highway
Nelsonia, VA 23414
Phone
(757) 678-3375
NPI assigned
Oct 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward Arnold Oswalt Jr., P.T.A.
Title
Partner
Phone
(757) 678-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2306602072 VA Primary

Addresses

Primary practice location

17405 Lankford Highway
Nelsonia, VA 23414

Mailing address

PO Box 21
Marionville, VA 23408-0021
Phone (757) 678-3375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174511968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "MARIONVILLE",
            "state": "VA",
            "postal_code": "234080021",
            "telephone_number": "757-678-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17405 LANKFORD HIGHWAY",
            "city": "NELSONIA",
            "state": "VA",
            "postal_code": "23414",
            "telephone_number": "757-678-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSWALT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-678-3375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nelsonia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.