NPIMap

Organization Active NPI

Shore Spine & Sport Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Sea Girt, NJ
National Provider Identifier
1851382386
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SHORE SPINE & SPORT PHYSICAL THERAPY, LLC
Practice address
2100 Highway 35
Suite C
Sea Girt, NJ 08750-1001
Phone
(732) 449-5858
Fax
(732) 449-7455
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Christopher C Feeney, PT
Title
Owner
Phone
(732) 449-5858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2100 Highway 35
Suite C
Sea Girt, NJ 08750-1001

Mailing address

2100 Highway 35
Suite C
Sea Girt, NJ 08750-1001
Phone (732) 449-5858

National Provider Directory

National Provider Directory

Locations

2100 Highway 35
Ste C
Sea Girt, NJ 08750
Phone (732) 449-5858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1851382386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 35",
            "address_2": "SUITE C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501001",
            "telephone_number": "732-449-5858",
            "fax_number": "732-449-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 35",
            "address_2": "SUITE C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501001",
            "telephone_number": "732-449-5858",
            "fax_number": "732-449-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE SPINE & SPORT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "FEENEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-449-5858",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.