Organization Active NPI

Seashore Physical Therapy LLC

  • Physical Therapist
  • Atlantic City, NJ
National Provider Identifier
1578871547
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00741100 Issued in NJ
Legal business name
SEASHORE PHYSICAL THERAPY LLC
Practice address
1801 Atlantic Avenue
First Floor
Atlantic City, NJ 08401
Phone
(609) 570-2400
Fax
(609) 541-4131
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dolores K Wohler, PT
Title
Owner
Phone
(609) 570-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00741100 NJ Primary

Addresses

Primary practice location

1801 Atlantic Avenue
First Floor
Atlantic City, NJ 08401

Mailing address

1801 Atlantic Avenue
First Floor
Atlantic City, NJ 08401
Phone (609) 570-2400

Other identifiers 1

IdentifierTypeStateIssuer
1003857574OtherNJINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1801 Atlantic Ave
Fl First
Atlantic City, NJ 08401
Phone (609) 570-2400

14 Route 50
Ste A
Ocean View, NJ 08230
Phone (609) 486-5051

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1578871547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ATLANTIC AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "609-570-2400",
            "fax_number": "609-541-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ATLANTIC AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "609-570-2400",
            "fax_number": "609-541-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "WOHLER",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-570-2400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00741100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003857574",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.