Shivani Mehta, DPT
Individual provider Active NPI Physical Therapist · Medina, NY
NPI 1821340787 · NPPES record last updated Oct 2, 2012
Key facts
- NPI
- 1821340787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 031553-1 (NY)
- Practice address
- 418 State St
Medina, NY 14103-9701 - Phone
- (585) 314-8777
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031553-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031553-1 | NY | Yes |
Addresses
Primary practice location
418 State St
Medina, NY 14103-9701
Mailing address
418 State St
Medina, NY 14103-9701
Phone (585) 314-8777
Other providers in Medina, NY
- Kelly Deann McMurray
- Medina Central School District
- Medina Dental PLLC
- Medina Optical Fashions, Inc.
- Medina Transport Taxi LLC
- Joseph Paul Meyer
- Elizabeth Marie Miles
- Joseph M Misiti
- John Moriarty
- Dianna Lynn Moule
All providers in Medina, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.