Shores Podiatry Associates, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHORES PODIATRY ASSOCIATES, P.C.

Practice address

20905 E 12 Mile Rd
Suite 300
Roseville, MI 48066-6501

Phone

(586) 541-7060

Fax

(586) 541-3003

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Dania Desmith

Title

Office Manager

Phone

(586) 772-3500

Specialties & licenses 1

Addresses

Other names 1

• Shores Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle M Gilliatte, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Roseville, MI
  • NPI 1669454013
  NPD
• James M McCarty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Roseville, MI
  • NPI 1306829544
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1811312366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "SUITE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-541-7060",
            "fax_number": "586-541-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "SUITE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-541-7060",
            "fax_number": "586-541-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "DESMITH",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-772-3500"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shores Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Joseph Shalhoub, M.D.
• Seema S Sharma, MD
• Hannah Marie Sheppard, FNP
• Prasanna Kumar Shivapuja, BDS,MDS,DDS,MS ORTHO
• Shores Podiatry Associates, P.C.
• Alok Shukla, M.D
• Fatima Siddiqui, D.D.S.
• Troy Silverthorn, DPT
• Kareen Simmons, LPN
• Thea Simmons, PSYS, LLP

• Physical Therapy Clinic/Center in Roseville, MI
• Providers in Roseville, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.