Alisha Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01949100 Issued in NJ

Practice address

49 Claremont Ave Ste 5
Montclair, NJ 07042-4854

Phone

(973) 680-8390

NPI assigned

Oct 6, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pelvic Health Hub Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parsippany, NJ
  • NPI 1700682721
  NPD Authorized official
• Pro Staff Physical Therapy PC

  • Occupational Therapist
  • Nutley, NJ
  • NPI 1770116527
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1841897410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SPRINGFIELD CT",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542943",
            "telephone_number": "973-864-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLAREMONT AVE STE 5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424854",
            "telephone_number": "973-680-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01949100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sereniva Health and Wellness Group
• Serket Pharmacy LLC
• Naomi Serlen, L.C.S.W.
• Laura Shack-Finger, ED.D.
• Abdirahman Hassan Shafad
• Bansari Modi Shah, DDS
• Bindi Shah, D.O.
• Bushra Shah
• Dhara Shah
• Reesha Patel Shah, D.M.D

• Physical Therapist in Montclair, NJ
• Providers in Montclair, 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 Oct 6, 2020; 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.