Jisuk Shin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

315 Walt Whitman Rd Ste 214
Huntington Station, NY 11746-4112

Phone

(631) 923-0334

Fax

(631) 923-0335

NPI assigned

Sep 28, 2024

Last updated

Sep 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reinna Shin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Emerald Physical Therapy & Acupuncture PC

  • Physical Therapist
  • Huntington Station, NY
  • NPI 1659157709
  NPD
• Manhattan Care Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1194121467
  NPD (past)

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1679391759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 214",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 214",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JISUK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REINNA",
            "last_name": "SHIN",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Shedlow, M.A. CCC/SLP
• An Shen, MA
• Richard Douglas Sheridan, PH.D.
• Satish J Sheth
• Vaishali Sheth
• Jodi Shink-Levine, RPH
• James Michael Shinol, L.AC.
• Sholistic Acupuncture Inc
• Faisal Siddiqui, MD
• Mohammad Siddiqui

• Physical Therapy Assistant in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.