Shayan Shawn Lebastchi

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

048903-01 Issued in NY

Practice address

203 Berry St
Brooklyn, NY 11249-3114

Phone

(646) 875-8348

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes PT PLLCGroup PAC ID 0345619243, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kines Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1891420642

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Fit Club Inc

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1225570807
  NPD
• Kellen Ryan Scantlebury Physical Therapy PLLC

  dba Fit Club NY

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1659148807

  Orthopedic

  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1265208326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BEDFORD AVE FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112024",
            "telephone_number": "858-336-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BERRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493114",
            "telephone_number": "646-875-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBASTCHI",
        "first_name": "SHAYAN",
        "middle_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "048903-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliza Perri Leb
• Alvin D Leb, MD
• Esther Leb, M.S., CCC-SLP
• Naomi Leb, DPT
• Autumn Lebank, DPT
• Jessica Kathryn Lebduska, MS, DPT, PT
• Sarah Elizabeth Lebeck-Jobe, LMFT
• Svetlana Lebedeva
• Anna Lebediev
• Igor Lebedivskyi, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.