Organization Active NPI

Shea Rehabilitation Services Inc.

  • Physical Therapist
  • Harrison, NJ
National Provider Identifier
1861526550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00198200 Issued in NJ
Legal business name
SHEA REHABILITATION SERVICES INC.
Practice address
450 Bergen St
Harrison, NJ 07029-2291
Phone
(201) 396-1332
Fax
(973) 437-4579
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Kevin Shea, PT
Title
President
Phone
(201) 396-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00198200 NJ Primary

Addresses

Primary practice location

450 Bergen St
Harrison, NJ 07029-2291

Mailing address

100 E Passaic Ave Apt C6
Nutley, NJ 07110-3015
Phone (201) 396-1332

National Provider Directory

National Provider Directory

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861526550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PASSAIC AVE APT C6",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103015",
            "telephone_number": "201-396-1332",
            "fax_number": "973-437-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BERGEN ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292291",
            "telephone_number": "201-396-1332",
            "fax_number": "973-437-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-396-1332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00198200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.