Shachi Mehta, PTA – Physical Therapy Assistant

Key facts

NPI: 1497301923
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 007044 (NY)
Practice address: 2223 150TH St Apt 1
Whitestone, NY 11357-3629
Phone: (917) 589-1256
NPI assigned: Aug 12, 2019
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
007044	NY	MD	Physical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	007044	NY	Yes

Addresses

Primary practice location

2223 150TH St Apt 1
Whitestone, NY 11357-3629

Mailing address

2223 150TH St Apt 1
Whitestone, NY 11357-3629
Phone (917) 589-1256

Electronic endpoints

Type	Endpoint	Use	Affiliation
SOAP URL	example

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2019.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1497301923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 150TH ST APT 1",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573629",
            "telephone_number": "917-589-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 150TH ST APT 1",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573629",
            "telephone_number": "917-589-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHACHI",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "example",
            "affiliation": "N",
            "address_1": "2223 150th St Apt 1",
            "city": "Whitestone",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113573629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitestone, NY

All providers in Whitestone, NY · Physical Therapy Assistant in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.