Oar to Shore Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OAR TO SHORE PERFORMANCE LLC

Practice address

324 R C Jones Rd
Franklin, GA 30217-6610

Phone

(570) 885-3069

NPI assigned

May 30, 2023

Organization subpart

No

Name

Gary Sean Koncewicz, DPTNPI 1487065496

Title

Owner

Phone

(570) 885-3069

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

• Gary Sean Koncewicz, DPT

  • Physical Therapist
  • Lagrange, GA
  • NPI 1487065496
  NPD Authorized official PHYSICAL THERAPIST

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2023.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1881387488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 R C JONES RD",
            "city": "FRANKLIN",
            "state": "GA",
            "postal_code": "302176610",
            "telephone_number": "570-885-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 R C JONES RD",
            "city": "FRANKLIN",
            "state": "GA",
            "postal_code": "302176610",
            "telephone_number": "570-885-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAR TO SHORE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "KONCEWICZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-885-3069",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Franklin, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.