Organization Active NPI

Shah Physical Therapy PLLC

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1346674868
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032021 Issued in NY
Legal business name
SHAH PHYSICAL THERAPY PLLC
Practice address
50 Rinaldi Blvd
Poughkeepsie, NY 12601-2914
Phone
(646) 401-4012
Fax
(917) 591-2342
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Manan A Shah, PT
Title
Owner
Phone
(646) 401-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 032021 NY Primary

Addresses

Primary practice location

50 Rinaldi Blvd
Poughkeepsie, NY 12601-2914

Mailing address

50 Rinaldi Blvd
Poughkeepsie, NY 12601-2914
Phone (646) 401-4012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1346674868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RINALDI BLVD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012914",
            "telephone_number": "646-401-4012",
            "fax_number": "917-591-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RINALDI BLVD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012914",
            "telephone_number": "646-401-4012",
            "fax_number": "917-591-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-401-4012",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.