Shine Rehab Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10237 Issued in FL

Legal business name

SHINE REHAB INC.

Practice address

2301 Tamiami TRL Ste E
Port Charlotte, FL 33952-3923

Phone

(941) 625-1252

Fax

(941) 625-0616

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Solano MercadoNPI 1730352162

Title

Physical Therapist

Phone

(941) 625-1252

Specialties & licenses 1

Addresses

Tax ID family

Shinerehab Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Shine Rehab Inc

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1245533959
  NPD tax ID
• Shine Rehab Inc.

  • Physical Therapist
  • Port Charlotte, FL
  • NPI 1568677938
  NPD tax ID

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.

• Solano Fernandez Mercado, PT

  • Physical Therapist
  • Port Charlotte, FL
  • NPI 1730352162
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184837221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523923",
            "telephone_number": "941-625-1252",
            "fax_number": "941-625-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523923",
            "telephone_number": "941-625-1252",
            "fax_number": "941-625-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "SOLANO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "941-625-1252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D Shell, DO
• Lindsay A Sherry, B.C.A.B.A
• Barbara Shideler, MD
• Charity Shier, LCSW
• Shine Rehab Inc
• Shine Rehab Inc.
• Nathan E Shipley
• Carol Shirkey, C.A.P.
• Shrinathjee LLC (Best RX Pharmacy)
• Shrinathjee LLC (Best Rx Pharmacy-LTC)

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• 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.