Shreya Wadhawan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

490 Driggs Ave
Brooklyn, NY 11211-2019

Phone

(718) 230-1180

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1831762657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 DRIGGS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112019",
            "telephone_number": "718-230-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20823 Stevens Creek Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950142112",
            "country_code": "US",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADHAWAN",
        "first_name": "SHREYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "300276",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aretha Wade, M.S.E.D
• Debra Wade, L.C.S.W.
• Isiah Wade
• Kim Wade, MSED
• Ryan Andrew Wade, CASAC
• Panikar Wadhera, M.D.
• Ram P Wadhwa, MD
• Chinmayee Wadke, PT,MS
• Stephen Julian Wadowski, M.D.
• Michael Tyler Wafer

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.