Individual provider Active NPI

Kamini Shah, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1407330707
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042963 Issued in NY
Practice address
506 Lenox Ave RM 3137
New York, NY 10037-1802
Phone
(212) 939-4447
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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 042963 NY Primary

Addresses

Primary practice location

506 Lenox Ave RM 3137
New York, NY 10037-1802

Mailing address

46 Winston Dr
Somerset, NJ 08873-2350
Phone (917) 443-1723

Other identifiers 1

IdentifierTypeStateIssuer
042963OtherNYPHYSICAL THERAPY STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190712000818 NY Practitioner - Physical Therapist in Private Practice 5193050151 Reassigns benefits to 4 organizations
I20240604004002 PA Practitioner - Physical Therapist in Private Practice 5193050151 Reassigns benefits to 1 organization
I20260323000185 NJ Practitioner - Physical Therapist in Private Practice 5193050151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rudraksh Physical Therapy PCGroup PAC ID 3870015407, 3 clinicians
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

East Brunswick, NJ 08816
Phone (862) 210-9471

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Aug 16, 2022 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Morano Physical Therapy PLLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Harlem Medical Associates PC CurrentSince Jun 11, 2019 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

506 Malcolm X Blvd
Rm 3137
New York, NY 10037
Phone (212) 939-4442

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Networks

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

Organizations & group practices 7

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1407330707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WINSTON DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732350",
            "telephone_number": "917-443-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE RM 3137",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAMINI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY STATE LICENSE",
            "identifier": "042963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.