Shore Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4041 Issued in SC

Legal business name

SHORE THERAPY

Practice address

110 Buttercup TRL
Anderson, SC 29621-4474

Phone

(864) 224-6781

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly J Shore, RPTNPI 1942277603

Title

Owner

Phone

(864) 224-6781

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kimberly Joanne Shore, RPT

  • Physical Therapist
  • Anderson, SC
  • NPI 1942277603
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1407906266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUTTERCUP TRL",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214474",
            "telephone_number": "864-224-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUTTERCUP TRL",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214474",
            "telephone_number": "864-224-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-224-6781",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akihiko Shigemi
• Suzanna Yukie Shintaku, PT
• Abigail Turner Shipman, PMHNP
• Kendall Nils Shirley, M.D.
• David T Shook, MD
• Kimberly Joanne Shore, RPT
• John Roger Showalter, PH.D.
• Jeffrey K Shramek, MD
• Kara J.P. Shrum, M.D.
• Shuey Physical Therapy

• Physical Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.