Shalom Physical Therapy Everett LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHALOM PHYSICAL THERAPY EVERETT LLC

Practice address

563 Broadway
Everett, MA 02149-3749

Phone

(857) 222-6510

NPI assigned

Mar 5, 2026

Organization subpart

No

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

Authorized official

Name

Mirza Lopez

Title

Manager/Member

Phone

(857) 222-6510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1609722503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "857-222-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "857-222-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PHYSICAL THERAPY EVERETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "857-222-6510"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Ward Schorr, M.ED
• Aldric Serrano
• Paul Aldric Serrano, DMD
• Heather Ann Sewell, RN
• Omair Shaikh
• Andrew Miller Shegda, M.S.
• Lyudmila V Shnayder, D.M.D
• Irwin M Shwom, OD
• Regina Silberberg, MA, LMHC
• Catherine Ande Sinelien

• Physical Therapy Clinic/Center in Everett, MA
• Providers in Everett, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.