Individual provider Active NPI

Vidhi Bankimbhai Shastri

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1871844738
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
035471 Issued in NY
Practice address
171 E 84TH St FL 2
New York, NY 10028-2029
Phone
(212) 327-0600
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 035471 NY Primary

Addresses

Primary practice location

171 E 84TH St FL 2
New York, NY 10028-2029

Mailing address

30 Spruce St FL 1
Jersey City, NJ 07306-3521
Phone (951) 269-6469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Retrain Physical Therapy, LLC Physical Medicine & Rehabilitation Current Accepting new patients
Profitness Physical Therapy PastSince Dec 1, 2012 Accepting new patients

Locations

264 W 40th St
Rm 501
New York, NY 10018
Phone (951) 269-6469

Organizations & group practices 2

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1871844738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SPRUCE ST FL 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063521",
            "telephone_number": "951-269-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E 84TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282029",
            "telephone_number": "212-327-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "VIDHI",
        "middle_name": "BANKIMBHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "035471",
            "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 Oct 1, 2012; 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.