Devon Shire, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01630000 Issued in NJ

Practice address

365 Geroges Rd
Suite 4
Dayton, NJ 08810-1639

Phone

(732) 438-3736

Fax

(732) 855-9751

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

No

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.

• Twin Boro Physical Therapy Associates PA

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  Medicare reassignment Care Compare group NPD NJ, Physical Therapist
• Twin Boro Physical Therapy Associates, PA

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Twin Boro Physical Therapy Associates, PA 89 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2020.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1790157741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 GEROGES RD",
            "address_2": "SUITE 4",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101639",
            "telephone_number": "732-438-3736",
            "fax_number": "732-855-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Route 206",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088445024",
            "country_code": "US",
            "telephone_number": "908-874-4522",
            "fax_number": "908-874-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRE",
        "first_name": "DEVON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01630000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradip Shah
• Ramesh Shah, PH.D., MSCP
• Shalom Therapeutic Services LLC
• Richa Sharma
• Shivani Sharma, MBBS, MD
• Kimberley Anne Shjarback, LAC
• Mangaiyarkkarasi Sivakumar, MD MS
• South Brunswick Pharmacy Inc
• St. Demian Medical PLLC
• The Arc Middlesex County

• All providers in Dayton, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.

Verify at the official NPI Registry.