| Shore Regional Home Therapies | |
|
78 Mystic Ct, Cliffwood, NJ 07721-1501 | |
| (732) 581-8688 | |
| Not Available |
| Full Name | Shore Regional Home Therapies |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 78 Mystic Ct, Cliffwood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255029898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Vsevolod S Elkanovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801895446 PECOS PAC ID: 6406836261 Enrollment ID: I20041221000345 |
| Provider Name | James Ryan Dipiazza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447764121 PECOS PAC ID: 3870851389 Enrollment ID: I20171211000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Regional Home Therapies 78 Mystic Ct, Cliffwood, NJ 07721-1501 Ph: (732) 581-8688 | Shore Regional Home Therapies 78 Mystic Ct, Cliffwood, NJ 07721-1501 Ph: (732) 581-8688 |
Ms. Kristen Dacunza, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Matawan Ave Apt 145d, Cliffwood, NJ 07721 Phone: 732-503-1464 | |
Deanna Rotella, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Mystic Ct, Cliffwood, NJ 07721 Phone: 732-314-3436 |