Active NPI
Tatyana Shekhterman, MS PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1760604755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018273
- Practice address
- 9880 Bustleton Ave
Philadelphia, PA 19115-2185 - Phone
- (215) 827-1650
- Fax
- (215) 827-1651
- NPI assigned
- May 2, 2007
- 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 | PT018273 | PA | Primary |
Addresses
Primary practice location
9880 Bustleton Ave
Philadelphia, PA 19115-2185
Mailing address
408 Lakeview CT
Feasterville Trevose, PA 19053-1935
Phone (215) 752-3089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018273 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1760604755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 LAKEVIEW CT",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190531935",
"telephone_number": "215-752-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152185",
"telephone_number": "215-827-1650",
"fax_number": "215-827-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEKHTERMAN",
"first_name": "TATYANA",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.