Individual provider Active NPI

Manan Ashokkumar Shah

  • Physical Therapy Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1225369218
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
62 032021 Issued in NY
Practice address
50 Rinaldi Blvd
6K
Poughkeepsie, NY 12601-2914
Phone
(646) 401-4012
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 62 032021 NY Primary

Addresses

Primary practice location

50 Rinaldi Blvd
6K
Poughkeepsie, NY 12601-2914

Mailing address

50 Rinaldi Blvd
6K
Poughkeepsie, NY 12601-2914
Phone (646) 401-4012

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
62 032021NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
CHB Medical PLLC Physical Therapy Past Accepting new patients
Healing Therapeutics Physical Therapy PLLC Physical Therapy PastSince Jun 15, 2012 Accepting new patients
Healing Therapeutics Physical Therapy Part A, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1225369218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RINALDI BLVD",
            "address_2": "6K",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012914",
            "telephone_number": "646-401-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RINALDI BLVD",
            "address_2": "6K",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012914",
            "telephone_number": "646-401-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANAN",
        "middle_name": "ASHOKKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "62 032021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.