Active NPI
Shirin Dalvi, PT
- Physical Therapist
- Great Neck, NY
National Provider Identifier
1760873764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038044
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038044-1 | NY | |
| Physical Therapist | 225100000X | 038044 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Mailing address
475 Northern Blvd Ste 27
Great Neck, NY 11021-4802
Phone (516) 829-0030
Other practice location 1
309 Northwest Dr
Farmingdale, NY 11735-4935
Phone (516) 420-2900
Other practice location 2
1971 Western Ave
Albany, NY 12203-5066
Phone (518) 452-2526
Other names 1
- Shirin Deshpande
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038044-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1760873764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 27",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [
{
"address_1": "309 Northwest Dr",
"address_purpose": "LOCATION",
"city": "Farmingdale",
"state": "NY",
"postal_code": "117354935",
"country_code": "US",
"telephone_number": "516-420-2900",
"fax_number": "516-420-2908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1971 Western Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122035066",
"country_code": "US",
"telephone_number": "518-452-2526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALVI",
"first_name": "SHIRIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038044-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRIN",
"last_name": "DESHPANDE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.