Shanam Kapoor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030999 Issued in NY

Practice address

1432 5TH Ave
New York, NY 10035-4521

Phone

(212) 752-2404

NPI assigned

Dec 22, 2017

Last updated

Dec 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1184130411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 AVENUE OF THE AMERICAS APT 10P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185423",
            "telephone_number": "631-953-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354521",
            "telephone_number": "212-752-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SHANAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "225100000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Het Rajesh Kapoor
• Jada Kapoor
• Madhavi Prabhakar Kapoor, M.D.
• Mariela Kapoor, M.D.
• Neera Kapoor, OD
• Shilpi Kapoor
• Sushmitha Kapoor
• Teja Mahadeshwar Kapoor, M.D.
• Casey Kapotes, OTR
• Dana Kapparova, DDS

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.