Arthur Shevardnadze

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01689200 Issued in NJ

Practice address

40 Main St
Chatham, NJ 07928-2431

Phone

(973) 635-2800

Fax

(973) 635-9392

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Remote Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1134018476
  Medicare reassignment NPD Authorized official
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Physical Therapist

  Medicare reassignment NPD
• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ

  Medicare reassignment NPD
• Therpt

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1558182717
  NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1164979787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-2800",
            "fax_number": "973-635-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-2800",
            "fax_number": "973-635-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVARDNADZE",
        "first_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01689200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema Shah, PHD
• Kristyn Shannon, PT
• Jennifer Lynn Shaw-Brachfeld, M.D.
• Sheila S Allen LLC
• Penn P Shelley, MD
• Claire Elizabeth Shimchak
• Juhee Shukla
• John Zachary Shumko, M.D.
• Jamaiya Sibley
• Fred M Silverberg, M.D.

• Physical Therapist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.