Active NPI
Dhruv A Shah, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1205106010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034555
- Practice address
- 131 West 135TH St
Lenox Rehab
New York, NY 10030 - Phone
- (917) 386-3434
- NPI assigned
- Jan 10, 2012
- Sex
- Male
- 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 | 034555 | NY | Primary |
Addresses
Primary practice location
131 West 135TH St
Lenox Rehab
New York, NY 10030
Mailing address
179 Manhattan Ave
Apt 3C
Jersey City, NJ 07307-3842
Phone (267) 777-1895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034555 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1205106010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 MANHATTAN AVE",
"address_2": "APT 3C",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073842",
"telephone_number": "267-777-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WEST 135TH ST",
"address_2": "LENOX REHAB",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10030",
"telephone_number": "917-386-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHRUV",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034555",
"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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.