Mir Shithil, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01903600 Issued in NJ

Practice address

256 Nevada Ave
Atlantic City, NJ 08401-3927

Phone

(609) 665-3988

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life Home Therapy LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1467048777
  Medicare reassignment NPD
• Proform Physical Therapy LLC

  • Physical Therapist
  • Aberdeen, NJ
  • NPI 1073958351
  Medicare reassignment NPD
• Proform Physical Therapy LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1861047854
  NPD

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1790321065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 NEVADA AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013927",
            "telephone_number": "609-665-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 NEVADA AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013927",
            "telephone_number": "609-665-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITHIL",
        "first_name": "MIR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01903600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Shah
• Shil Shah
• Mohammed Ibrahim Shakhatreh, M.D
• Adama Shaw, DO
• Seemeen S Sheikh, D.M.D
• Wakilu A Shittu, MD
• Sarah Elizabeth Shumsky, NP
• Durdana Aamir Siddiqui, MD
• Gursimar K Sidhu, MD
• Marian Sidor, M.D.

• Physical Therapist in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.