Prinsiben Shah, PTA

Individual provider Active NPI Physical Therapy Assistant · Montebello, NY

NPI 1841859337 · NPPES record last updated Jun 10, 2019

Key facts

NPI
1841859337
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
9188 (NY)
Practice address
28B Indian Rock
Montebello, NY 10901-4907
Phone
(845) 368-2180
Fax
(845) 368-2187
NPI assigned
Jun 10, 2019
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)
No

State licenses

LicenseStateTypeSpecialty
9188NYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9188 NY Yes

Addresses

Primary practice location

28B Indian Rock
Montebello, NY 10901-4907

Mailing address

54 Rockcreek Ter
Riverdale, NJ 07457-1052
Phone (201) 595-9432

Other providers in Montebello, NY

All providers in Montebello, NY · Physical Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.