Active NPI
Yash Apurva Shah, PT, DPT
- Physical Therapist
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02295900
- Practice address
- 922 Main St Ste 201
Paterson, NJ 07503-2602 - Phone
- (732) 906-9600
- Fax
- (732) 377-0393
- NPI assigned
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 40QA02295900 | NJ | Primary |
Addresses
Primary practice location
922 Main St Ste 201
Paterson, NJ 07503-2602
Mailing address
90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Yash.Shah.1@21449.direct.athenahealth.com | Premier Brain and Spine, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
922 Main St
Suite 201
Paterson, NJ 07503-2602
Phone (732) 906-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02295900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Brain and Spine, LLC | Physical Therapist | Current | Accepting new patients |
| Premier Brain and Spine LLC | Current | Accepting new patients | |
| Freeman Pain Institute PA | Physical Therapist | Past | Accepting new patients |
Locations
90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568
2501 Kuser Rd
Ste 3
Trenton, NJ 08691
2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312
1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600
Interoperability endpoints
- yash.shah.1@21449.direct.athenahealth.com
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.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1922771377
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Shrewsbury, NJ
- NPI 1427944156
-
- Physical Medicine & Rehabilitation Physician
- Union, NJ
- NPI 1689770539
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1700604253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MATAWAN RD STE 302",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472653",
"telephone_number": "732-441-7177",
"fax_number": "732-441-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 MAIN ST STE 201",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032602",
"telephone_number": "732-906-9600",
"fax_number": "732-377-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "YASH",
"middle_name": "APURVA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02295900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Yash.Shah.1@21449.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Premier Brain and Spine, LLC",
"address_1": "922 Main St Ste 201",
"city": "Paterson",
"state": "NJ",
"country_code": "US",
"postal_code": "075032602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.