Shores Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHORES THERAPY, LLC

Practice address

358 NE 105TH St
Miami Shores, FL 33138-2022

Phone

(305) 588-4210

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Cecilia Heredia, MPTNPI 1487766689

Title

Director of Therapy

Phone

(305) 588-4210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glades Therapy, LLC Former legal business name

Practitioners 1

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

• Cecilia Heredia, MPT

  • Physical Therapist
  • Miami Shores, FL
  • NPI 1487766689
  NPD Authorized official

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1396247482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 NE 105TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NE 105TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382022",
            "telephone_number": "305-588-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "305-588-4210",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1487766689",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glades Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eleanor Sequeira, M.S., CCC-SLP
• Rose Shakib
• Belinda Sue Shapiro, ED.D, ATC/L
• Chad Shaykher, MD
• Shores Pediatrics
• Anna Shpak
• Suzana Simoes, PT
• Anthony Singh
• Sky on Sky Bariatrics & Surgery PA
• Julianne Elizabeth Smith, RN

• Physical Therapy Clinic/Center in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.