Individual provider Active NPI

Shrushti Vilesh Lalan, PHYSICAL THERAPIST

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1033796248
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046523 Issued in NY
Practice address
468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone
(718) 399-6234
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046523 NY Primary

Addresses

Primary practice location

468 Lafayette Ave
Brooklyn, NY 11205-4809

Mailing address

15606 NE 40TH St Apt U177
Redmond, WA 98052-7012
Phone (650) 265-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721003088 WA Practitioner - Physical Therapist in Private Practice 9234599218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

3801 5TH St SE
Suite 220
Puyallup, WA 98374-2106
Phone (253) 445-4258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046523NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Medcare, LLC Physical Therapist CurrentSince Mar 28, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients
Lafayette Medical Office, PC Physical Therapist PastSince Mar 28, 2021 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1033796248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15606 NE 40TH ST APT U177",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527012",
            "telephone_number": "650-265-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 LAFAYETTE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054809",
            "telephone_number": "718-399-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALAN",
        "first_name": "SHRUSHTI",
        "middle_name": "VILESH",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.