Organization Active NPI

Shorerestore Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Point Pleasant Boro, NJ
National Provider Identifier
1912777962
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SHORERESTORE PHYSICAL THERAPY & WELLNESS
Practice address
1211 Sunrise Ave
Point Pleasant Boro, NJ 08742-3720
Phone
(914) 224-9382
NPI assigned
Jan 2, 2024
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Lauren DonovanNPI 1598535544
Title
Physical Therapist
Phone
(914) 224-9382

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1211 Sunrise Ave
Point Pleasant Boro, NJ 08742-3720

Mailing address

1211 Sunrise Ave
Point Pleasant Boro, NJ 08742-3720
Phone (914) 224-9382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208003269 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850734674 Receives reassigned benefits from 1 practitioner
Practice locations: Point Pleasant Boro, NJ

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1912777962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SUNRISE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423720",
            "telephone_number": "914-224-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SUNRISE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423720",
            "telephone_number": "914-224-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORERESTORE PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-224-9382"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.