Sheila Faith Icamen Pesta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA00972400 Issued in NJ

Practice address

600 S Livingston Ave Ste 210
Livingston, NJ 07039-5415

Phone

(800) 530-3247

Fax

(973) 740-9007

NPI assigned

Mar 31, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Ocean Orthopedic Associates, P.a.

  • Orthopaedic Surgery Physician
  • Toms River, NJ
  • NPI 1861823544
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1982876876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 ECHO PL",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554915",
            "telephone_number": "732-286-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LIVINGSTON AVE STE 210",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395415",
            "telephone_number": "800-530-3247",
            "fax_number": "973-740-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTA",
        "first_name": "SHEILA FAITH",
        "middle_name": "ICAMEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA00972400",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "PT40QA00972400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Carol Perline, LCSW
• Barry Perlman, DO
• Adam Perna, LAC
• David John Perna, M.D.
• Nicolette Perrone
• Penina Lisa Petchers, PSY.D.
• Lauren Rachel Petersen, L.C.S.W.
• Tina M Petillo, DO
• Sylvia Jean Petrone, MD
• Deborah Petrowsky, M.D.

• Physical Therapist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.