Active NPI
Toesha Manishkumar Shukla, PHYSICAL THERAPIST
- Physical Therapist
- New York, NY
National Provider Identifier
1154188209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051643-01
- Practice address
- 138TH St Bronx
255 East
New York, NY 10451 - Phone
- (718) 559-0909
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 051643-01 | NY | Primary |
Addresses
Primary practice location
138TH St Bronx
255 East
New York, NY 10451
Mailing address
7002 JFK Boulevard East
Apt #43 D
Guttenberg, NJ 07093
Phone (917) 913-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
280 W 231St St
Bronx, NY 10463-3940
7002 JFK Boulevard E
Apt 43 D
Guttenberg, NJ, NJ 07093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051643 | NY | MD | Dentist |
| 051643-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theradynamics Rehab. PT, OT & SLP, PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1154188209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 JFK BOULEVARD EAST",
"address_2": "APT #43 D",
"city": "GUTTENBERG",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "917-913-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138TH ST BRONX",
"address_2": "255 EAST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-559-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "TOESHA",
"middle_name": "MANISHKUMAR",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051643-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.