Shahid Shamim, PHYSICAL THERAPIST

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

5910 174TH St
Fresh Meadows, NY 11365-1539

Phone

(718) 357-0036

NPI assigned

Nov 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1770764680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 174TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651539",
            "telephone_number": "917-406-6366",
            "fax_number": "718-357-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 174TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651539",
            "telephone_number": "718-357-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIM",
        "first_name": "SHAHID",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghulamullah Shahzad, MD
• Jamie Shakarov
• Mellita Shakhmurov, PA-C
• Adel Shalaby, DPT
• Michael Shamayev, PHARM.D
• Xin Shao
• Henna Chaya Sharfman
• Gautam Sharma
• Farangiss Shaye
• Mohammad Amanullah Sheikh

• Physical Therapy Clinic/Center in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.