Active NPI
Shore Health System, Inc
- Rehabilitation Clinic/Center
- Easton, MD
National Provider Identifier
1447210463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SHORE HEALTH SYSTEM, INC
- Practice address
- 10 Martin CT # B
Easton, MD 21601-4095 - Phone
- (410) 822-3080
- Fax
- (410) 820-0003
- NPI assigned
- Mar 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Kozel
- Title
- President/Ceo
- Phone
- (410) 822-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
10 Martin CT # B
Easton, MD 21601-4095
Mailing address
10 Martin CT # B
Easton, MD 21601-4095
Phone (410) 822-3080
Other practice location 1
1140 Blades Farm Rd Ste 201
Denton, MD 21629-3489
Phone (410) 479-3300
Other practice location 2
125 Shoreway Dr
Queenstown, MD 21658-1680
Phone (410) 827-3818
Other practice location 3
713 Cambridge Marketplace Blvd
Ste 2300
Cambridge, MD 21613-2572
Phone (443) 225-7515
Other practice location 4
510 Idlewild Ave
Easton, MD 21601-3881
Phone (410) 822-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413481800 | Medicaid | MD |
Other names 1
- SHORE REHABILITATION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040809000637 | MD | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 8022906783 | Practice locations: Cambridge, MD; Queenstown, MD; Denton, MD; Easton, MD |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10 Martin Ct
Ste 100B
Easton, MD 21601
10 Martin Ct
#B
Easton, MD 21601
Phone (410) 822-0308
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Easton, MD
- NPI 1598314429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1447210463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MARTIN CT # B",
"city": "EASTON",
"state": "MD",
"postal_code": "216014095",
"telephone_number": "410-822-3080",
"fax_number": "410-820-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MARTIN CT # B",
"city": "EASTON",
"state": "MD",
"postal_code": "216014095",
"telephone_number": "410-822-3080",
"fax_number": "410-820-0003"
}
],
"practiceLocations": [
{
"address_1": "1140 Blades Farm Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "MD",
"postal_code": "216293489",
"country_code": "US",
"telephone_number": "410-479-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Shoreway Dr",
"address_purpose": "LOCATION",
"city": "Queenstown",
"state": "MD",
"postal_code": "216581680",
"country_code": "US",
"telephone_number": "410-827-3818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "713 Cambridge Marketplace Blvd",
"address_2": "Ste 2300",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MD",
"postal_code": "216132572",
"country_code": "US",
"telephone_number": "443-225-7515",
"fax_number": "443-225-7615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Idlewild Ave",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216013881",
"country_code": "US",
"telephone_number": "410-822-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHORE HEALTH SYSTEM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "KOZEL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "410-822-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413481800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHORE REHABILITATION",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHORE REHABILITATION",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.