Shevaun K Kirschbaum, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032774 Issued in NY

Practice address

105 Shad Row FL 2
Piermont, NY 10968-3001

Phone

(845) 359-0220

Fax

(201) 660-7303

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Align Natural Physical Therapy LLC

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1790021830

  NY

  Medicare reassignment Authorized official
• Spectrum Physical Therapy & Athletic Training, LLC

  • Physical Therapist
  • Edgewater, NJ
  • NPI 1942385513
  Medicare reassignment NPD
• Balance and Concussion Therapy Center, LLC

  • Neurology Physical Therapist
  • Hackensack, NJ
  • NPI 1609595057
  NPD (past)
• Spectrum Physical Therapy and Athletic Training LLC

  • Sports Physical Therapist
  • Edgewater, NJ
  • NPI 1417140906
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1720359136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SHAD ROW FL 2",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109683001",
            "telephone_number": "845-359-0220",
            "fax_number": "201-660-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SHAD ROW FL 2",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109683001",
            "telephone_number": "845-359-0220",
            "fax_number": "201-660-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHBAUM",
        "first_name": "SHEVAUN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01385800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anonya Inglese
• Nana Ishikawa
• Janis L. Enzenbacher,MD,PLLC
• Jennifer Robyn Kaplan
• Jee Hee Kim, O.M.D
• Brittany Kopac
• Lee'S Wellness Acupuncture,PLLC
• Laurie Nelson Lehey, L.AC.
• Lotus Physical Therapy for Women, PLLC
• Jordanna Maier, NY SPED 1041442161

• Physical Therapist in Piermont, NY
• Providers in Piermont, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.