Active NPI
Shore Rehabilitation Services Inc
- Speech-Language Pathologist
- Nassawadox, VA
National Provider Identifier
1740227651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SHORE REHABILITATION SERVICES INC
- Practice address
- 9539 Hospital Ave
Nassawadox, VA 23413 - Phone
- (757) 414-8004
- Fax
- (757) 414-8009
- NPI assigned
- May 31, 2006
- Last updated
- Mar 18, 2008
- 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
- Robert P Yearty
- Title
- Cfo VP Finance
- Phone
- (757) 414-8756
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9539 Hospital Ave
Nassawadox, VA 23413
Mailing address
PO Box 17
Nassawadox, VA 23413-0017
Phone (757) 414-8004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1740227651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17",
"city": "NASSAWADOX",
"state": "VA",
"postal_code": "234130017",
"telephone_number": "757-414-8004",
"fax_number": "757-414-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9539 HOSPITAL AVE",
"city": "NASSAWADOX",
"state": "VA",
"postal_code": "23413",
"telephone_number": "757-414-8004",
"fax_number": "757-414-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORE REHABILITATION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "YEARTY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO VP FINANCE",
"authorized_official_telephone_number": "757-414-8756"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nassawadox, VA
- Shore Health Services, Inc (Riverside Shore Surgical Associates)
- Shore Health Services, Inc (Riverside Shore Diabetes Center)
- Shore Health Services, Inc (Riverside Shore Anesthesia)
- Shore Health SVC Inc (Shore Memorial Hospital)
- Shore Hearing LLC
- John Wilton Snyder Jr., MD
- Drury M Stith, M.D.
- Vincent Joseph Stravino, MD
- Rosionka Tankard, LCSW
- Urology of Virginia PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.