Provider Demographics
NPI:1760277685
Name:WEST SHORE PT SERVICES
Entity type:Organization
Organization Name:WEST SHORE PT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MHS DPT
Authorized Official - Phone:856-904-4050
Mailing Address - Street 1:806 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-2625
Mailing Address - Country:US
Mailing Address - Phone:856-904-4050
Mailing Address - Fax:
Practice Address - Street 1:806 W SHORE DR
Practice Address - Street 2:
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-2625
Practice Address - Country:US
Practice Address - Phone:856-904-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy