Shaista Noor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050117 Issued in NY

Practice address

1360 Route 112
Port Jefferson Station, NY 11776-3078

Phone

(631) 473-3304

NPI assigned

Jan 18, 2024

Last updated

Mar 29, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Metro Care Providers PT PLLCGroup PAC ID 2163872201, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1639959919
  Medicare reassignment Care Compare group NPD
• Home-Based Physical Therapy PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1356900989
  NPD
• K & H Medical PLLC

  • Vascular & Interventional Radiology Physician
  • Bethpage, NY
  • NPI 1518458751
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1316708209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "718-709-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ROUTE 112",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763078",
            "telephone_number": "631-473-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOR",
        "first_name": "SHAISTA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Ninia, M.D.
• NJ Nicastro Dental PC
• Anna Noakes
• Janine Nofer
• Joyce Louise Noonan, PT
• North Ocean Family Medicine
• North Shore Chiropractic P.C.
• North Shore Hematology Oncology Associates PC (Ny Cancer & Blood Specialists)
• North Shore Hematology Oncology Associates PC
• North Shore Hematology/Oncology Associates PC

• Physical Therapist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Mar 29, 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.