Active NPI
Tim Shea, PT
- Physical Therapist
- Salem, NH
National Provider Identifier
1285033738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19385
- Practice address
- 2 Keewaydin Dr
Salem, NH 03079-2839 - Phone
- (800) 995-2673
- NPI assigned
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19385 | MA | Primary |
Addresses
Primary practice location
2 Keewaydin Dr
Salem, NH 03079-2839
Mailing address
2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19385 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1285033738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "800-995-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "TIM",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.