Individual provider Active NPI

Anushree Nitinbhai Shah

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1306687751
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050823 Issued in NY
Practice address
695 Stanley Ave
Brooklyn, NY 11207-7905
Phone
(347) 915-0791
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 050823 NY Primary

Addresses

Primary practice location

695 Stanley Ave
Brooklyn, NY 11207-7905

Mailing address

183 Hutton St Apt 1
Jersey City, NJ 07307-3702
Phone (862) 846-8226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027003090 NY Practitioner - Physical Therapist in Private Practice 6709375181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Hedgerow LN
Manalapan, NJ 07726-7905

183 Hutton St
Apt 1
Jersey City, NJ 07307-3702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050823NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
First Class Physical Therapy, P.C. Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

695 Stanley Ave
Brooklyn, NY 11207
Phone (347) 915-0791

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

Organizations & group practices 1

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1306687751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HUTTON ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073702",
            "telephone_number": "862-846-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077905",
            "telephone_number": "347-915-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANUSHREE",
        "middle_name": "NITINBHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050823",
            "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 May 31, 2024; 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.