Kimberly Joanne Shore, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4041 Issued in SC

Practice address

1118 Cornelia Rd
Anderson, SC 29621-3317

Phone

(864) 225-8321

NPI assigned

Mar 1, 2006

Last updated

Oct 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dosher Physical Therapy Associates IncGroup PAC ID 9931188836, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dosher Physical Therapy Associates Inc

  • Physical Therapist
  • Easley, SC
  • NPI 1639163934
  Medicare reassignment Care Compare group NPD
• Shore Therapy

  • Physical Therapist
  • Anderson, SC
  • NPI 1407906266
  NPD (past) Authorized official
• Dosher Physical Therapy Associates Inc

  dba Hamel Rehabilitation & Spine Clinic

  • Physical Therapist
  • Anderson, SC
  • NPI 1255325551
  NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1942277603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403084",
            "telephone_number": "864-855-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-225-8321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Buttercup Trl",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214474",
            "country_code": "US",
            "telephone_number": "864-202-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORE",
        "first_name": "KIMBERLY",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "SC4041",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1071",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanna Yukie Shintaku, PT
• Abigail Turner Shipman, PMHNP
• Kendall Nils Shirley, M.D.
• David T Shook, MD
• Shore Therapy
• John Roger Showalter, PH.D.
• Jeffrey K Shramek, MD
• Kara J.P. Shrum, M.D.
• Shuey Physical Therapy
• Larry Shuler, MD

• Physical Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.