Individual provider Active NPI

Bhakti Shah

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1538585716
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034674 Issued in NY
Practice address
3755 Henry Hudson Pkwy
Bronx, NY 10463-1535
Phone
(917) 209-6335
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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 034674 NY Primary

Addresses

Primary practice location

3755 Henry Hudson Pkwy
Bronx, NY 10463-1535

Mailing address

2 Old Mamaroneck Rd Apt 7a
White Plains, NY 10605-1726
Phone (847) 736-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140529001080 NY Practitioner - Physical Therapist in Private Practice 3577786151 Reassigns benefits to 2 organizations
I20230116000509 CA Practitioner - Physical Therapist in Private Practice 3577786151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20211 Patio Dr
Suite 205
Castro Valley, CA 94546-4338
Phone (510) 537-3991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034674NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Hudson in Home Physical Therapy PLLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC Physical Therapist PastSince Jan 4, 2022 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

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

Organizations & group practices 6

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1538585716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD MAMARONECK RD APT 7A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051726",
            "telephone_number": "847-736-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631535",
            "telephone_number": "917-209-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHAKTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.