Active NPI
Pratiksha Shah
- Physical Therapist
- Flushing, NY
National Provider Identifier
1356859144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042232
- Practice address
- 13639 37TH Ave
Flushing, NY 11354-4110 - Phone
- (718) 666-0267
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01760400 | NJ | |
| Physical Therapist | 225100000X | 042232 | NY | Primary |
Addresses
Primary practice location
13639 37TH Ave
Flushing, NY 11354-4110
Mailing address
66 Fox Rd Apt 8a
Edison, NJ 08817-4946
Other practice location 1
13639 37th Ave
Flushing, NY 11354-4110
Phone (718) 666-0267
Other practice location 2
171 Elmora Ave Fl 2
Elizabeth, NJ 07202-1169
Phone (917) 318-5303
Other practice location 3
171 Elmora Ave Fl 2
Elizabeth, NJ 07202-1169
Phone (917) 318-5303
Other practice location 4
171 Elmora Ave Fl 2
Elizabeth, NJ 07202-1169
Phone (917) 318-5303
Other practice location 5
13639 37th Ave
Flushing, NY 11354-4110
Phone (718) 666-0267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01760400 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356859144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 FOX RD APT 8A",
"city": "EDISON",
"state": "NJ",
"postal_code": "088174946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13639 37TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544110",
"telephone_number": "718-666-0267"
}
],
"practiceLocations": [
{
"address_1": "13639 37th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113544110",
"country_code": "US",
"telephone_number": "718-666-0267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Elmora Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072021169",
"country_code": "US",
"telephone_number": "917-318-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Elmora Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072021169",
"country_code": "US",
"telephone_number": "917-318-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Elmora Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072021169",
"country_code": "US",
"telephone_number": "917-318-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13639 37th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113544110",
"country_code": "US",
"telephone_number": "718-666-0267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "PRATIKSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01760400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.