Active NPI
Shail Ishan Shah
- Physical Therapist
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01671100
- Practice address
- 8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434 - Phone
- (718) 533-8588
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- 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 | 40QA01671100 | NJ | Primary |
Addresses
Primary practice location
8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434
Mailing address
313 Naomi Way
Neshanic Station, NJ 08853
Phone (908) 962-4788
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bridgewater, NJ 08807
Phone (908) 722-7022
1354 Centennial Ave
Unit A3 B
Piscataway, NJ 08854-4318
Phone (800) 518-0977
84 Veronica Ave
Suite And1016
Somerset, NJ 08873-3529
Phone (800) 518-0977
89 Route 206
Somerville, NJ 08876-4102
Phone (800) 518-0977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehab Somerset PA | Current | Accepting new patients | |
| Health Plus Physical Therapy Center, PA | Physical Therapist | Current | Accepting new patients |
| Trinity Rehab Somerset PA | Current | Accepting new patients | |
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Bridgeway Care at Home, LLC | Physical Therapist | Current | Accepting new patients |
Locations
270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022
2114 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5999
110 Greenwood Ave
Montclair, NJ 07042
Phone (908) 764-3074
328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701
175 Route 37 W
#R
Toms River, NJ 08755
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.
-
- Geriatric Physical Therapist
- Bridgewater, NJ
- NPI 1104383421
-
- Physical Therapist
- Somerset, NJ
- NPI 1245789064
-
- Physical Therapy Clinic/Center
- Edison, NJ
- NPI 1225073265
Physical Therapist
-
- Physical Therapy Clinic/Center
- North Wales, PA
- NPI 1144892852
-
- Physical Therapy Clinic/Center
- East Brunswick, NJ
- NPI 1689196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730547472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 NAOMI WAY",
"city": "NESHANIC STATION",
"state": "NJ",
"postal_code": "08853",
"telephone_number": "908-962-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 QUEENS BLVD",
"address_2": "SUITE 1B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734434",
"telephone_number": "718-533-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHAIL",
"middle_name": "ISHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01671100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.