Dorian Kim Shann, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044210 Issued in NY

Practice address

53 Ny-17K Suite 2
Newburgh, NY 12550

Phone

(845) 561-2024

NPI assigned

Mar 19, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Montefiore Medical Center

  • Physical Therapist
  • Pomona, NY
  • NPI 1942012851
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386103125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BEACON ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082737",
            "telephone_number": "845-554-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NY-17K SUITE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANN",
        "first_name": "DORIAN",
        "middle_name": "KIM",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "044210",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dshann@accessptw.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Access Physical Therapy & Wellness Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "53 NY-17K Suite 2",
            "city": "Newburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anjali N Shah, MD
• Nirav D Shah, MD
• Parth M. Shah, M.D.
• Rashmi Shah, MSW
• Rutu Shah
• Shmuel Shapira, MD
• Stephen Barry Shapiro, MD
• Sharon Jolly & Associates, LLC
• Sharon Jolly Audiology & Speech Language Pathology, LLC
• Andrew Paul Shay, PA

• Physical Therapist in Newburgh, NY
• Providers in Newburgh, 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 Nov 27, 2023; 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.