Individual provider Active NPI

Aneri Shah, PT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1568148690
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050398-01 Issued in NY
Practice address
775 Park Ave Ste 150
Huntington, NY 11743-7515
Phone
(631) 396-1595
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 050398-01 NY Primary

Addresses

Primary practice location

775 Park Ave Ste 150
Huntington, NY 11743-7515

Mailing address

775 Park Ave Ste 150
Huntington, NY 11743-7515
Phone (631) 396-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726000744 NY Practitioner - Physical Therapist in Private Practice 1355702135 Reassigns benefits to 1 organization
I20241211003587 WA Practitioner - Physical Therapist in Private Practice 1355702135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

11711 NE 12TH St
Suite 3a
Bellevue, WA 98005-2461
Phone (425) 454-1405

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050398NYMDDentist
050398-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Excellent Choice Physical Therapy, P.C. Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

111 E 210th St
Bronx, NY 10467

11835 Queens Blvd
Ste 1550
Forest Hills, NY 11375
Phone (718) 544-5730

775 Park Ave
Ste 150
Huntington, NY 11743
Phone (631) 396-1595

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1568148690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 150",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437515",
            "telephone_number": "631-396-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 150",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437515",
            "telephone_number": "631-396-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANERI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050398-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.