Kevalee Shah

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014491-01 Issued in NY

Practice address

173 Tulip Ave
Floral Park, NY 11001-2703

Phone

(516) 214-5797

NPI assigned

Nov 19, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gramercy Park Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Floral Park, NY
  • NPI 1003150640
  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1194540732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64TH AVE",
            "address_2": "APT 108-41 FL 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "774-623-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012703",
            "telephone_number": "516-214-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KEVALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014491-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sexton, LCSW
• Joseph Sferrazza, MD
• Susan Shafer
• Zahra Shafiq
• Shafique Medical PLLC
• Yahya Farooq Shah
• Sophia Shamayev, M.S. ED
• Marie Shanahan
• Shannon Roesch, DPM PC
• Arthur V Shapiro, RPH

• Physical Therapy Assistant in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.