Individual provider Active NPI

Kashish Nilang Shah

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1265323604
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05430501 Issued in NY
Practice address
18 6TH Ave
Brooklyn, NY 11217-4960
Phone
(646) 222-8995
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05430501 NY Primary

Addresses

Primary practice location

18 6TH Ave
Brooklyn, NY 11217-4960

Mailing address

102 Madison Ave FL 8
Ground Floor
New York, NY 10016-7584
Phone (212) 759-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017001628 NY Practitioner - Physical Therapist in Private Practice 2668969007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promet Physical Therapy PCGroup PAC ID 6901988849, 7 clinicians
Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

13828 Queens Blvd
FL 1
Jamaica, NY 11435-2666
Phone (718) 880-2385

18 6TH Ave
Brooklyn, NY 11217-4960
Phone (646) 222-8995

7119 80TH St
Suite 8210
Glendale, NY 11385-7733
Phone (718) 554-6610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promet Physical Therapy PC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Feb 12, 2026 Accepting new patients
Promet Physical Therapy, PC Physical Therapist Past Accepting new patients
Radiology Associates of Main Street PC PastSince Feb 12, 2026 Accepting new patients

Locations

7119 80th St
Ste 8210
Glendale, NY 11385
Phone (718) 554-6610

13828 Queens Blvd
Ste C
Jamaica, NY 11435
Phone (718) 880-2385

6317 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 360-4908

102 Madison Ave
Fl 8
New York, NY 10016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1265323604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MADISON AVE FL 8",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167584",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174960",
            "telephone_number": "646-222-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KASHISH",
        "middle_name": "NILANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "05430501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.