Individual provider Active NPI

Pallavi Shah, PHYSICAL THERAPIST

  • Physical Therapist
  • Weehawken, NJ
National Provider Identifier
1508887340
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22183 Issued in MD
Practice address
359 Park Ave
Weehawken, NJ 07086-6708
Phone
(703) 944-4257
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870681 DC
Physical Therapist 225100000X 2305205246 VA
Physical Therapist 225100000X 5501012816 MI
Orthopedic Physical Therapist 2251X0800X 40QA01838500 NJ
Physical Therapist 225100000X 22183 MD Primary

Addresses

Primary practice location

359 Park Ave
Weehawken, NJ 07086-6708

Mailing address

359 Park Ave
Weehawken, NJ 07086-6708
Phone (703) 944-4257

Other names 1

  • Pallavi Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606001886 NJ Practitioner - Physical Therapist in Private Practice 5496837387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22183MDMDInternal Medicine Physician
PT870681DCMDPhysical Therapist
5501012816MIMDPhysical Therapist
2305205246VAMDPhysical Therapist
40QA01838500NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Hudson Physical Therapy Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
One Skincare, LLC Past Accepting new patients
Rachel E. Miller, Inc PastSince Dec 22, 2015 Accepting new patients

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1508887340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866708",
            "telephone_number": "703-944-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866708",
            "telephone_number": "703-944-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PALLAVI",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870681",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205246",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012816",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01838500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PALLAVI",
            "last_name": "SHAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.