Nisha Hitesh Shah, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049917 Issued in NY

Practice address

200 Petersville Rd
New Rochelle, NY 10801-4465

Phone

(914) 650-3448

NPI assigned

Dec 5, 2022

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1295445864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PETERSVILLE RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014465",
            "telephone_number": "914-650-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHA",
        "middle_name": "HITESH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Mind NP in Psychiatry PLLC
• Marie Ann Serina, FAMILY NURSE PRACTIT
• Keona Serrano, LCSW
• Jazmin Andrena Sevilla, MD
• Sarah Michelle Seymour, MS, MHC-LP
• Zainab Shah, BA
• Noha Mahmoud Shahin
• Deirdre Anne Shaner
• Shivanee Sumathi Shanmugam, MD
• Bharatee M. Sharma, MD

• Physical Therapist in New Rochelle, NY
• Providers in New Rochelle, 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 Feb 19, 2024; 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.