Active NPI
James Shea, PT
- Physical Therapist
- Kittery, ME
National Provider Identifier
1386668150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15785
- Practice address
- 37 Route 236
Suite 210
Kittery, ME 03904-6000 - Phone
- (207) 439-4965
- Fax
- (207) 439-4965
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 21, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 15785 | MA | Primary |
Addresses
Primary practice location
37 Route 236
Suite 210
Kittery, ME 03904-6000
Mailing address
37 Route 236
Suite 210
Kittery, ME 03904-6000
Phone (207) 439-2675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y68504 | Other | MA | BC PROVIDER # |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Past | Accepting new patients | |
| Proex Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Physical Therapist
- Woburn, MA
- NPI 1831190453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269129600000",
"number": "1386668150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ROUTE 236",
"address_2": "SUITE 210",
"city": "KITTERY",
"state": "ME",
"postal_code": "039046000",
"telephone_number": "207-439-2675",
"fax_number": "207-439-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 ROUTE 236",
"address_2": "SUITE 210",
"city": "KITTERY",
"state": "ME",
"postal_code": "039046000",
"telephone_number": "207-439-4965",
"fax_number": "207-439-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER #",
"identifier": "Y68504",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.