The Shoreline Clinic, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE SHORELINE CLINIC, LLC

Practice address

4426 Bee Ridge Rd
Sarasota, FL 34233-2502

Phone

(941) 371-5002

Fax

(941) 371-5622

NPI assigned

Jun 22, 2023

Last updated

Jan 6, 2024By 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

Jason IpoNPI 1306046560

Title

Physical Therapist/Owner

Phone

(941) 371-5002

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 14

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.

• Jason Ipo, PT

  • Physical Therapist
  • Sarasota, FL
  • NPI 1306046560
  Medicare reassignment Care Compare group NPD Authorized official
• Cheryl Ray-Keith, OTR/L

  • Occupational Therapist
  • Naples, FL
  • NPI 1376716456
  Medicare reassignment Care Compare group NPD
• Jackie Lynn Orta, OTD, OTR/L

  • Occupational Therapist
  • Wyandotte, MI
  • NPI 1093210239

  FL

  Medicare reassignment Care Compare group NPD
• Michael Elliott April, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
  • NPI 1568596633
  Medicare reassignment NPD
• Sydney Briner, OTD, OTR/L

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1316513062
  Medicare reassignment NPD
• Lance Cassell, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sarasota, FL
  • NPI 1205058328
  Medicare reassignment NPD
• Kathryn G Hart

  • Occupational Therapist
  • Sarasota, FL
  • NPI 1811405756
  Medicare reassignment NPD
• Damian Grycel

  • Physical Therapy Assistant
  • Sarasota, FL
  • NPI 1164211223
  NPD
• Justin Dale Hardie

  • Physical Therapy Assistant
  • Sarasota, FL
  • NPI 1770321986
  NPD
• Leah Moss, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1457114357
  NPD
• Elizabeth Quinn, DPT

  • Physical Therapist
  • Punta Gorda, FL
  • NPI 1770454225
  NPD
• Thomas R Syverson, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Crystal River, FL
  • NPI 1750366290
  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704499200000",
    "number": "1265118632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332502",
            "telephone_number": "941-371-5002",
            "fax_number": "941-371-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332502",
            "telephone_number": "941-371-5002",
            "fax_number": "941-371-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHORELINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "IPO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "941-371-5002"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.