Active NPI
Shoreline Telept Physical Therapy
- Physical Therapist
- Redondo Beach, CA
National Provider Identifier
1902738297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SHORELINE TELEPT PHYSICAL THERAPY
- Practice address
- 1807 Speyer LN
Redondo Beach, CA 90278-4814 - Phone
- (213) 282-7058
- NPI assigned
- Jun 1, 2026
- Last updated
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen McClurg, PT
- Title
- Ceo
- Phone
- (310) 403-1583
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1807 Speyer LN
Redondo Beach, CA 90278-4814
Mailing address
2629 Manhattan Ave # 1015
Hermosa Beach, CA 90254-2411
Phone (213) 282-7058
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Torrance, CA
- NPI 1326363722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1902738297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 MANHATTAN AVE # 1015",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542411",
"telephone_number": "213-282-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 SPEYER LN",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902784814",
"telephone_number": "213-282-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORELINE TELEPT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "MCCLURG",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-403-1583",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.