Provider Demographics
NPI:1851119366
Name:SHEMIS, HOSAM M (PT)
Entity type:Individual
Prefix:
First Name:HOSAM
Middle Name:M
Last Name:SHEMIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 HIGHWAY 34 STE M
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2151
Mailing Address - Country:US
Mailing Address - Phone:732-970-7882
Mailing Address - Fax:732-970-7883
Practice Address - Street 1:1077 HIGHWAY 34 STE M
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2151
Practice Address - Country:US
Practice Address - Phone:732-970-7882
Practice Address - Fax:732-970-7883
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02296100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist