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Deactivated NPI 1205904976 Deactivated / Inactive NPI Male Practitioner

Robert Kevin Shea , PT

Physical Therapist • Harrison, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Shea has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2006
NPI Deactivation Date April 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Robert Shea, PT was a registered Physical Therapist practicing in Harrison, NJ. Throughout an active medical career spanning 18 years, Robert Shea provided care at the practice location at 450 BERGEN ST until profile deactivation on 2024-04-10.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure using functional activities. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

450 Bergen St

Harrison, NJ 070292291

Telephone 2013961332
Fax 9734374579
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Harrison, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Harrison, NJ (9814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
514 62 $82.28 $24.05
97140 Therapy procedure using manual technique, each 15 minutes
431 58 $76.77 $22.35
97530 Therapy procedure using functional activities
371 53 $87.20 $39.92
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
276 40 $86.20 $30.38
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
98 17 $84.05 $9.31
97161 Evaluation of physical therapy, typically 20 minutes
22 22 $243.99 $107.73

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License NJ 40QA00198200

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Paul Fontanazza , MD

Internal Medicine

NPI 1225041965

Doctor of Medicine (M.D.)

Dr. Minal Aguilar , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1346506193

Doctor of Medicine (M.D.)

Dr. Ralph Dagostino , MD

Internal Medicine

NPI 1790798437

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 450 BERGEN ST, HARRISON, NJ 070292291 (Tel: 2013961332)

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Updated Business Mailing Address July 08, 2007

Registered at 100 E PASSAIC AVE APT C6, NUTLEY, NJ 071103015 (Tel: 2013961332)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SHEA, PT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #40QA00198200 in NJ)

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Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205904976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Deactivation Date: April 10, 2024

Mailing Address

100 E Passaic Ave Apt C6

Nutley, NJ 071103015

Phone: 2013961332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.