Provider Demographics
NPI:1255029898
Name:SHORE REGIONAL HOME THERAPIES
Entity type:Organization
Organization Name:SHORE REGIONAL HOME THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPIAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-581-8688
Mailing Address - Street 1:78 MYSTIC CT
Mailing Address - Street 2:
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721-1501
Mailing Address - Country:US
Mailing Address - Phone:732-581-8688
Mailing Address - Fax:
Practice Address - Street 1:78 MYSTIC CT
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1501
Practice Address - Country:US
Practice Address - Phone:732-581-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty