Nicky S Shah, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032564 Issued in NY

Practice address

1650 Selwyn Ave
Bronx, NY 10457-7626

Phone

(718) 579-3940

NPI assigned

Jul 1, 2014

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy at HomeGroup PAC ID 9133460934, 13 clinicians

Align Care Physical Therapy PLLCGroup PAC ID 8729498043, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Align Care Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Carlstadt, NJ
  • NPI 1083375356

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Align Care Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Queens Village, NY
  • NPI 1245842392

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Dynamic Physical Therapy at Home

  • Physical Therapist
  • Northvale, NJ
  • NPI 1396219044
  Medicare reassignment Care Compare group NPD
• Rehab Potential Inc

  • Physical Therapist
  • Carlstadt, NJ
  • NPI 1831954809

  NY

  Medicare reassignment NPD Authorized official
• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment NPD
• Dynamic Physical Therapy Rehab of Ny P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1134775174

  Physical Therapist

  Medicare reassignment NPD
• M&Ntherapyllc

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1346985942

  Physical Therapist

  Medicare reassignment NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1275948002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-579-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-579-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9708 Springfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114291329",
            "country_code": "US",
            "telephone_number": "706-615-7539",
            "fax_number": "347-774-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NICKY",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03904574",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275948002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megha Jatin Shah, PHARMD
• Mehreen Shah, PA
• Muhammad Shah, M.D.
• Neil Vijay Shah, MD, MS
• Neomi Shah, M.D.
• Nippie Sarita Shah, MD, MPH
• Nirav Shah, MD
• Nishant Shah, MD
• Nishi Shah, MBBS
• Nishma Shah

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.