Active NPI
Shellie Sakash, PT
- Physical Therapist
- Chatham, NH
National Provider Identifier
1376571992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3366
- Practice address
- 2315 Green Hill Rd
Chatham, NH 03813-5508 - Phone
- (603) 662-3166
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 3262 | ME | |
| Physical Therapist | 225100000X | 3366 | NH | Primary |
Addresses
Primary practice location
2315 Green Hill Rd
Chatham, NH 03813-5508
Mailing address
2315 Green Hill Rd
Chatham, NH 03813-5508
Phone (603) 662-3166
Other practice location 1
37 Main St
Conway, NH 03818-6166
Phone (603) 447-2533
Other practice location 2
374 Main St
Norway, ME 04268-5925
Phone (207) 743-5493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432562499 | Medicaid | ME |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3262 | ME | MD | Physical Therapist |
| 3366 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sakash Health and Wellness | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Chatham, NH
- NPI 1306347059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376571992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 GREEN HILL RD",
"city": "CHATHAM",
"state": "NH",
"postal_code": "038135508",
"telephone_number": "603-662-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 GREEN HILL RD",
"city": "CHATHAM",
"state": "NH",
"postal_code": "038135508",
"telephone_number": "603-662-3166"
}
],
"practiceLocations": [
{
"address_1": "37 Main St",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "NH",
"postal_code": "038186166",
"country_code": "US",
"telephone_number": "603-447-2533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "374 Main St",
"address_purpose": "LOCATION",
"city": "Norway",
"state": "ME",
"postal_code": "042685925",
"country_code": "US",
"telephone_number": "207-743-5493",
"fax_number": "207-743-5563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAKASH",
"first_name": "SHELLIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3262",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432562499",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NH
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.