Individual provider Active NPI

Shauna Maria Eltink, DPT

  • Physical Therapist
  • Manahawkin, NJ
National Provider Identifier
1770199499
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01954900 Issued in NJ
Practice address
230 Division St
Manahawkin, NJ 08050-3130
Phone
(609) 607-7400
Fax
(609) 488-5654
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01954900 NJ Primary

Addresses

Primary practice location

230 Division St
Manahawkin, NJ 08050-3130

Mailing address

230 Division St
Manahawkin, NJ 08050-3130
Phone (609) 607-7400

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
40QA01954900NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1770199499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DIVISION ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503130",
            "telephone_number": "609-607-7400",
            "fax_number": "609-488-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DIVISION ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503130",
            "telephone_number": "609-607-7400",
            "fax_number": "609-488-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTINK",
        "first_name": "SHAUNA",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01954900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.