Provider Demographics
NPI:1497147730
Name:SHP PHYSICAL THERAPY, LLC.
Entity Type:Organization
Organization Name:SHP PHYSICAL THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-684-9200
Mailing Address - Street 1:4 HARVARD CIR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1991
Mailing Address - Country:US
Mailing Address - Phone:561-684-9200
Mailing Address - Fax:561-684-9202
Practice Address - Street 1:4 HARVARD CIR
Practice Address - Street 2:SUITE 700
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1991
Practice Address - Country:US
Practice Address - Phone:561-684-9200
Practice Address - Fax:561-684-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty