Shore Phyx Physical Therapy & Sports Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHORE PHYX PHYSICAL THERAPY & SPORTS REHABILITATION

Practice address

626 Ocean Rd
Point Pleasant Boro, NJ 08742-4083

Phone

(732) 888-8010

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Sonam Shah, DPT, MBANPI 1942752191

Title

Physical Therapist

Phone

(732) 890-6242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Sonam Shah, DPT, MBA

  • Physical Therapist
  • Sea Girt, NJ
  • NPI 1942752191
  Medicare reassignment NPD Authorized official
• Jacqueline Carla Kelly-Gallello, DPT

  • Physical Therapist
  • Brick, NJ
  • NPI 1235408568
  Medicare reassignment NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1366156275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SHADOWBROOK DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 OCEAN RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424083",
            "telephone_number": "732-888-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PHYX PHYSICAL THERAPY & SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SONAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-890-6242",
        "authorized_official_credential": "DPT, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Schechter
• Jeanette Marie Sealy
• Seeds of Hope and Healing LLC
• Daniel Shand
• Laura Shields, MS OTR/L
• Shore Spine and Physical Rehabilitation
• Shorerestore Physical Therapy & Wellness
• Michelle Claudette Sierra-Pappas, LCSW
• Christy Silk, DC
• John Simon, MSN, PMHNP-BC

• Physical Therapist in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.