Individual provider Active NPI

Mahezabin Shaikh, PT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1396083564
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031368 Issued in NY
Practice address
28-18 31St Street
2ND Floor
Astoria, NY 11102-1760
Phone
(718) 956-6565
Fax
(718) 956-5860
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031368 NY Primary

Addresses

Primary practice location

28-18 31St Street
2ND Floor
Astoria, NY 11102-1760

Mailing address

28-18 31St Street
2ND Floor
Astoria, NY 11102-1760
Phone (718) 956-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131017000293 NY Practitioner - Physical Therapist in Private Practice 8123252624 Reassigns benefits to 2 organizations
I20190925001216 NJ Practitioner - Physical Therapist in Private Practice 8123252624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polaris Physical Therapy PLLCGroup PAC ID 0749677466, 3 clinicians

Practice addresses (Care Compare)

6529 Grand Ave
Maspeth, NY 11378-2422
Phone (718) 715-4871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031368NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy, P.C. Physical Therapist CurrentSince Dec 18, 2015 Accepting new patients
Activcore Health Network LLC Physical Therapist CurrentSince Nov 16, 2022 Accepting new patients
Polaris Physical Therapy PLLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

2818 31st St
#2
Astoria, NY 11102
Phone (718) 395-6247

2818 31st St
Astoria, NY 11102
Phone (718) 956-6565

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

6529 Grand Ave
Maspeth, NY 11378
Phone (718) 715-4871

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1396083564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-18 31ST STREET",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021760",
            "telephone_number": "718-956-6565",
            "fax_number": "718-956-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-18 31ST STREET",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021760",
            "telephone_number": "718-956-6565",
            "fax_number": "718-956-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "MAHEZABIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.