Organization Active NPI

Shore Orthopedic & Athletic Rehabilitation, PA

  • Orthopedic Physical Therapist
  • Sea Girt, NJ
National Provider Identifier
1336145283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SHORE ORTHOPEDIC & ATHLETIC REHABILITATION, PA
Practice address
2123 Highway 35
Sea Girt, NJ 08750-1003
Phone
(732) 449-2001
Fax
(732) 449-2238
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey Snyder, PT
Title
President
Phone
(732) 449-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X NJ Primary

Addresses

Primary practice location

2123 Highway 35
Sea Girt, NJ 08750-1003

Mailing address

2123 Highway 35
Sea Girt, NJ 08750-1003
Phone (732) 449-2001

Other names 1

  • S.O.A.R. Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2123 Route 35
Sea Girt, NJ 08750
Phone (732) 449-2001

2130 Highway 35
Ste A116
Sea Girt, NJ 08750
Phone (732) 449-2001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336145283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501003",
            "telephone_number": "732-449-2001",
            "fax_number": "732-449-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501003",
            "telephone_number": "732-449-2001",
            "fax_number": "732-449-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ORTHOPEDIC & ATHLETIC REHABILITATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-449-2001",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.O.A.R. Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.