Share a Smile Physical Therpay PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHARE A SMILE PHYSICAL THERPAY PC

Practice address

39-07 Prince St 5a
Flushing, NY 11354-5357

Phone

(929) 422-3880

Fax

(718) 732-1307

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Anoop Chacko, PTNPI 1154835957

Title

Owner

Phone

(718) 707-6970

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anoop Chacko

  • Physical Therapist
  • Astoria, NY
  • NPI 1154835957
  Authorized official Same address or phone
• Viktoriya Kulyk, PT

  • Physical Therapist
  • Astoria, NY
  • NPI 1902428717
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1336971266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015526",
            "telephone_number": "929-422-3880",
            "fax_number": "718-732-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-07 PRINCE ST 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545357",
            "telephone_number": "929-422-3880",
            "fax_number": "718-732-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE A SMILE PHYSICAL THERPAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "ANOOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-707-6970",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Shapiro, MD
• Natasha Shapiro, M.D.
• Richard Shapiro, DPT
• Vivian Shapiro
• Michelle Regina Shaprut, D.O.
• Mohamed Sharfi
• Farhin R Shariff, MHC-LP
• Joyti Sharma
• Manish Sharma, DO
• Nalini Sharma, NURSE PRACTITIONER

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 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.