Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Shea

Individual provider Occupational Therapist · NPI 1215801097

Nicole Shea is an Occupational Therapist in Private Practice in Freehold, New Jersey. Qualified in 2025, 1 year ago. Practices with Spine and Sports Medicine of Freehold, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

1050 W Main St
Freehold, NJ 07728-2509
Phone: (732) 475-4959
Fax: (732) 780-7139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01262200 (NJ)

Record details

NPI number1215801097
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address1050 W Main St, Freehold, NJ 07728-2509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Spine And Sports Medicine Of Freehold, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Freehold