Taraya J Shirdan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3300 Township Line Rd
Suite 102
Drexel Hill, PA 19026-1925

Phone

(610) 853-9919

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunshine Therapy Club

  • Early Intervention Provider Agency
  • Drexel Hill, PA
  • NPI 1093015356
  NPD (past) Authorized official
• Sunshine Therapy Club II

  • Early Intervention Provider Agency
  • Havertown, PA
  • NPI 1801079454
  Authorized official Same address or phone
• Sunshine Therapy Club II Inc

  • Early Intervention Provider Agency
  • Drexel Hill, PA
  • NPI 1700186061
  NPD (past) Authorized official
• Sunshine Therapy Club II, Inc.

  • Early Intervention Provider Agency
  • Havertown, PA
  • NPI 1649305525
  Authorized official Same address or phone
• Sunshine Therapy Club Inc

  • Social Worker
  • Havertown, PA
  • NPI 1962687319
  Authorized official Same address or phone
• Sunshine Therapy Club, Inc

  • Early Intervention Provider Agency
  • Havertown, PA
  • NPI 1003941964
  Authorized official Same address or phone

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1386952984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "PILGRIM GARDENS",
            "state": "PA",
            "postal_code": "190267706",
            "telephone_number": "610-853-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD",
            "address_2": "SUITE 102",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-853-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRDAN",
        "first_name": "TARAYA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001933239",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Shaw
• Roland E Shelton Jr., MSW
• Rosemary Johanna Shields, RN
• Sabura Shiffrin, PT
• Wan S Shim, MD
• Philip A Shore, D.M.D.
• Julia Bye Siegerman, D.P.M.
• Lucas Silveri-Hiller, PT, DPT
• David Bruce Simpson, MSW, LCSW, C-ASWCM
• Crystal Singh

• Physical Therapist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.