Individual provider Active NPI

Baron Shieh

  • Physical Therapist
  • New York, NY
National Provider Identifier
1811539638
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043244 Issued in NY
Practice address
1844 Second Ave
New York, NY 10128
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Oct 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 043244 NY Primary

Addresses

Primary practice location

1844 Second Ave
New York, NY 10128

Mailing address

541 E 20TH St Apt 11a
New York, NY 10010-7614
Phone (862) 222-7056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001577 NY Practitioner - Physical Therapist in Private Practice 5698006955 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Shasta Health Physical Therapy Ny PCGroup PAC ID 6406383033, 6 clinicians

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101
Phone (833) 270-9820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043244NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Health Physical Therapy Ny PC Physical Therapist CurrentSince Feb 25, 2025 Accepting new patients
Lifelong Strong Health LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Jun 30, 2022 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

169 Madison Ave
Ste 11071
New York, NY 10016
Phone (833) 270-9820

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 8

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1811539638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 E 20TH ST APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107614",
            "telephone_number": "862-222-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SECOND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEH",
        "first_name": "BARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.