NPIMap

Organization Active NPI

Shore Movement Physical Therapy, P.a.

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1811093313
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005211300 Issued in DE
Legal business name
SHORE MOVEMENT PHYSICAL THERAPY, P.A.
Practice address
1310 Savannah Rd
Lewes, DE 19958-1526
Phone
(302) 645-6470
Fax
(302) 645-6471
NPI assigned
Sep 15, 2006
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Peter Mohacey, MPTNPI 1689678369
Title
Owner
Phone
(302) 645-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005211300 DE Primary

Addresses

Primary practice location

1310 Savannah Rd
Lewes, DE 19958-1526

Mailing address

270 Commerce Dr
Suite 190
Fort Washington, PA 19034-2405
Phone (215) 654-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000387 DE Part B Supplier - Clinic/Group Practice 5698785624 Receives reassigned benefits from 1 practitioner
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Locations

1310 Savannah Rd
Lewes, DE 19958
Phone (215) 654-1520

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1811093313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COMMERCE DR",
            "address_2": "SUITE 190",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342405",
            "telephone_number": "215-654-1520",
            "fax_number": "215-654-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581526",
            "telephone_number": "302-645-6470",
            "fax_number": "302-645-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MOVEMENT PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MOHACEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-645-6470",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "2005211300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.