Individual provider Active NPI

Anna Kaisa T Mero-Shea, PT

  • Orthopedic Physical Therapist
  • Neptune, NJ
National Provider Identifier
1538305180
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTQA00692400 Issued in NJ
Practice address
2441 State Route 33
Ste a
Neptune, NJ 07753-3763
Phone
(732) 776-4251
Fax
(732) 776-4210
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTQA00692400 NJ Primary

Addresses

Primary practice location

2441 State Route 33
Ste a
Neptune, NJ 07753-3763

Mailing address

2441 State Route 33 Ste a
Neptune, NJ 07753-3763
Phone (732) 776-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTQA00692400NJMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1538305180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 STATE ROUTE 33 STE A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533763",
            "telephone_number": "732-776-4251",
            "fax_number": "732-776-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 STATE ROUTE 33",
            "address_2": "STE A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533763",
            "telephone_number": "732-776-4251",
            "fax_number": "732-776-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERO-SHEA",
        "first_name": "ANNA KAISA",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "PTQA00692400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.