Individual provider Active NPI

Jay Shamah

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1629790456
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT031762 Issued in PA
Practice address
1930 S Broad St Ste J
Philadelphia, PA 19145-2328
Phone
(267) 996-3900
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043761 NY
Physical Therapist 225100000X PT031762 PA Primary

Addresses

Primary practice location

1930 S Broad St Ste J
Philadelphia, PA 19145-2328

Mailing address

2470 Horace CT
Bellmore, NY 11710-4810

Other practice location 1

2470 Horace Ct
Bellmore, NY 11710-4810
Phone (516) 987-4453

Other practice location 2

4005 Ludlow St
Philadelphia, PA 19104-5826
Phone (267) 529-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221121001335 NY Practitioner - Physical Therapist in Private Practice 3274901335 Reassigns benefits to 1 organization
I20240314000652 PA Practitioner - Physical Therapist in Private Practice 3274901335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (267) 996-3900

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients

Locations

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

4005 Ludlow St
Philadelphia, PA 19104
Phone (267) 529-0050

1930 S Broad St
Ste J
Philadelphia, PA 19145
Phone (267) 507-7572

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1629790456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 HORACE CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST STE J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "267-996-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2470 Horace Ct",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117104810",
            "country_code": "US",
            "telephone_number": "516-987-4453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4005 Ludlow St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045826",
            "country_code": "US",
            "telephone_number": "267-529-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMAH",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043761",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.