Shoreline Orthopedic Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHORELINE ORTHOPEDIC REHABILITATION

Practice address

12 Bokum Rd
Essex, CT 06426-1500

Phone

(860) 767-9035

NPI assigned

Aug 9, 2006

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Cooper

Title

Managing Partner

Phone

(219) 365-6560

Specialties & licenses 1

Addresses

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.

• Steven Mitchell Luster, M.D.

  • Orthopaedic Surgery Physician
  • Essex, CT
  • NPI 1154379261
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1437169687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261500",
            "telephone_number": "860-767-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ORTHOPEDIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "219-365-6560"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moheba Sayed, LPC
• Michele Marie Schavoir, RN, CDOE
• Susan A Scott, LMFT
• Emily M Searle, DPT
• Shoreline Neurology, LLC
• Shoreline Orthopedics & Sports Medicine, LLC
• Lisa R. Silberstein, PH.D.
• Lynn M Smith, APRN
• Sound Counseling Center LLC
• Alan Michael Spagnola, M.D.

• Physical Therapy Clinic/Center in Essex, CT
• Providers in Essex, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

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