SEASHORE PEDIATRIC THERAPY CENTER PC (NPI# 1396277083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396277083 |
| Entity Type | Organization |
| Organization Name | SEASHORE PEDIATRIC THERAPY CENTER PC |
| Practice Address |
230 Division St Manahawkin NJ 08050-3130 |
| Mailing Address |
5 Poplar St West Creek NJ 08092-2835 |
| Practice Telephone | 6097139976 |
| Mailing Telephone | 6097139976 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | ROBERT WILLIAM MATTHEWS (PRESIDENT) |
| Authorized Official Telephone | 6097139976 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
40QA00573000 | NJ | Ambulatory Health Care Facilities |
| Street Address |
230 DIVISION ST |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199499 | Shauna Maria Eltink | Physical Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2020-09-17 |
| 1912510454 | Brooke A Samaritano | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2020-08-25 |
| 1699314591 | Shelbi Hilling | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2019-12-26 |
| 1679114649 | Victoria Lee Petruzziello | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2019-10-01 |
| 1174081186 | Brielle Marie Caucino | Speech-Language Pathologist | 230 Division St, Manahawkin, NJ 08050-3130 | 2019-03-08 |
| 1780151308 | Kayla Ann Irwin | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-11-01 |
| 1316437114 | Lisa Marie Stanley | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-05-16 |
| 1841789955 | Allison Murray Herrington-trebach | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-05-03 |
| 1215432968 | Chelsey Lynn Friggle | Speech-Language Pathologist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-03-26 |
| 1215432182 | Alyssa Marie Tribley | Speech-Language Pathologist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
| 1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
| 1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
| 1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
| 1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
| 1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
| Find all providers in zip 08050 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1346664893 | Southern Ocean Pediatrics and Family Medicine | Clinic/Center | 162 Beachview Ave, Manahawkin, NJ 08050-7818 | 2014-02-04 |
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| Find all providers with the same taxonomy | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
Please comment or provide details below to improve the information on SEASHORE PEDIATRIC THERAPY CENTER PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.