Individual provider Active NPI

David Shaoul, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780238329
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015623 Issued in NY
Practice address
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone
(347) 394-1600
Fax
(347) 394-5059
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015623 NY Primary

Addresses

Primary practice location

2003 Coney Island Ave
Brooklyn, NY 11223-2328

Mailing address

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190823000684 NY Practitioner - Physical Therapist in Private Practice 6709114135 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY
I20250124002276 FL Practitioner - Physical Therapist in Private Practice 6709114135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Core Therapy Services PT OT PLLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Ari Levine PT, PC Physical Therapist Current Accepting new patients
Core Therapy Services and Medicine Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1780238329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "347-394-1600",
            "fax_number": "347-394-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "347-394-1600",
            "fax_number": "347-394-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAOUL",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.