Individual provider Active NPI

Twinkle V Shah

  • Physical Therapist
  • Mineola, NY
National Provider Identifier
1699369017
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046851 Issued in NY
Practice address
379 Latham Rd
Mineola, NY 11501-1107
Phone
(516) 800-1799
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 046851 NY Primary

Addresses

Primary practice location

379 Latham Rd
Mineola, NY 11501-1107

Mailing address

379 Latham Rd
Mineola, NY 11501-1107
Phone (516) 800-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001412 NY Practitioner - Physical Therapist in Private Practice 4789090564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marathon Physical Therapy of Ny PCGroup PAC ID 5991921330, 8 clinicians
Kenetic Physical Therapy PCGroup PAC ID 0749611903, 2 clinicians

Practice addresses (Care Compare)

246 Jericho Tpke
Floral Park, NY 11001-2147
Phone (516) 531-7879

489 Great Neck Rd
Great Neck, NY 11021-4306
Phone (646) 420-8374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046851NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Choice Physical Therapy, P.C. Physical Therapist CurrentSince Mar 2, 2021 Accepting new patients
Kenetic Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Twinkle Physical Therapy P C CurrentSince Apr 20, 2025 Accepting new patients
Marathon Physical Therapy of Ny PC Physical Therapist CurrentSince Apr 27, 2022 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Feb 25, 2021 Accepting new patients

Locations

246 Jericho Tpke
Floral Park, NY 11001
Phone (516) 531-7879

800 E Gate Blvd
Garden City, NY 11530

489 Great Neck Rd
Great Neck, NY 11021
Phone (646) 420-8374

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

556B Middle Neck Rd
Great Neck, NY 11023
Phone (516) 487-9810

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

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

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

Organizations & group practices 5

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1699369017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 LATHAM RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011107",
            "telephone_number": "516-800-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 LATHAM RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011107",
            "telephone_number": "516-800-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TWINKLE",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.