Active NPI
Shan L Pathan
- Physical Therapist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 054396
- Practice address
- 3551 94TH St Apt 4a
Jackson Heights, NY 11372-5917 - Phone
- (347) 266-1627
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054396 | NY | Primary |
Addresses
Primary practice location
3551 94TH St Apt 4a
Jackson Heights, NY 11372-5917
Mailing address
3551 94TH St Apt 4a
Jackson Heights, NY 11372-5917
Phone (347) 266-1627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (917) 723-0667
2579 Ocean Ave
FL 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | Accepting new patients |
| Rehab on Wheels OT PT PLLC | Physical Therapist | Current | Accepting new patients |
| Prokinetics Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Priority One Therapy PT OT SLP PLLC | Current | Accepting new patients | |
| Ny Z Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199
174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Physical Therapist
- Brooklyn, NY
- NPI 1922412220
-
- Physical Therapist
- Astoria, NY
- NPI 1063193076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1548028244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 94TH ST APT 4A",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725917",
"telephone_number": "347-266-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 94TH ST APT 4A",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725917",
"telephone_number": "347-266-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHAN",
"first_name": "SHAN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.