NPIMap

Organization Active NPI

Shore to Advance Therapy Services

  • Physical Therapist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1962833160
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA917300 Issued in NJ
Legal business name
SHORE TO ADVANCE THERAPY SERVICES
Practice address
8 Elmwood Dr
Little Egg Harbor TWP, NJ 08087-2901
Phone
(609) 713-0461
NPI assigned
Dec 12, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kimberly Sand, MPT
Title
Physical Therapist
Phone
(609) 714-0461

Practitioners 7

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

National Provider Directory

National Provider Directory

Locations

1064 S Main St
West Creek, NJ 08092
Phone (609) 448-2650

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA917300 NJ Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

NPPES NPI Registry

Primary practice location

8 Elmwood Dr
Little Egg Harbor TWP, NJ 08087-2901

Mailing address

8 Elmwood Dr
Little Egg Harbor TWP, NJ 08087-2901
Phone (609) 713-0461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2013.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1962833160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ELMWOOD DR",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872901",
            "telephone_number": "609-713-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ELMWOOD DR",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872901",
            "telephone_number": "609-713-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE TO ADVANCE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "SAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-714-0461",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA917300",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.