Organization Active NPI

Shore Elite Physical Therapy

  • Orthopedic Physical Therapist
  • Stevensville, MD
National Provider Identifier
1396540399
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SHORE ELITE PHYSICAL THERAPY
Practice address
112 Log Canoe Cir
Stevensville, MD 21666-2128
Phone
(410) 443-7372
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Ashley GoodNPI 1346710399
Title
Doctor of Physical Therapy / Owner
Phone
(443) 569-9267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

112 Log Canoe Cir
Stevensville, MD 21666-2128

Mailing address

57 Long Creek Dr
Stevensville, MD 21666-2959

National Provider Directory

National Provider Directory

Locations

112 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 443-7372

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1396540399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LONG CREEK DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662128",
            "telephone_number": "410-443-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ELITE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY / OWNER",
        "authorized_official_telephone_number": "443-569-9267"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.