Individual provider Active NPI

Shelmy Thachet

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1093471773
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027672 Issued in NY
Practice address
17 W 9TH St
Brooklyn, NY 11231-2501
Phone
(718) 599-9090
Fax
(718) 907-1348
NPI assigned
Nov 16, 2021
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027672 NY Primary

Addresses

Primary practice location

17 W 9TH St
Brooklyn, NY 11231-2501

Mailing address

90 Colgate Ave
Paramus, NJ 07652-4332
Phone (214) 450-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003488 NY Practitioner - Physician Assistant 8022496710 Reassigns benefits to 1 organization
I20251007000128 CO Practitioner - Physician Assistant 8022496710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Whole Recovery, PCGroup PAC ID 8123388527, 23 clinicians

Practice addresses (Care Compare)

1115 Elkton Dr
Suite 300
Colorado Springs, CO 80907-3597
Phone (719) 373-9703

1905 N Sherman St
Suite 900
Denver, CO 80203-1130
Phone (719) 373-9703

8380 Zuni St
Suite 305
Denver, CO 80221-4689
Phone (719) 373-9703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027672NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Current Accepting new patients
Achieve Whole Recovery, PC CurrentSince Sep 16, 2025 Accepting new patients
Achieve Whole Recovery PC CurrentSince Sep 16, 2025 Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 373-9703

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 373-9703

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1093471773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COLGATE AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524332",
            "telephone_number": "214-450-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312501",
            "telephone_number": "718-599-9090",
            "fax_number": "718-907-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACHET",
        "first_name": "SHELMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.