Shelton Restorative Health

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SHELTON RESTORATIVE HEALTH

Practice address

4 Armstrong Rd Ste T120
Shelton, CT 06484-4721

Phone

(203) 513-3211

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Brianna Lehning Queiros

Title

Vice President

Phone

(203) 513-3211

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1972365609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ARMSTRONG RD STE T120",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844721",
            "telephone_number": "203-513-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ARMSTRONG RD STE T120",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844721",
            "telephone_number": "203-513-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON RESTORATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "QUEIROS",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "LEHNING",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-513-3211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "1184133738",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelton Lakes Health Care Center
• Shelton Lakes Health Care Center, Inc
• Shelton Pediatrics
• Shelton Pharmacy Incorporated
• Shelton Public School System
• Shelton Sports & Spine, PC
• Sherlyne Dieudonne LPC LLC
• Carly Shomsky, OTR
• Dalia H Shubber, DDS
• Nour Dhiaa Shubber, DDS

• Physical Medicine & Rehabilitation Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.