Justin William Shaginaw, MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009705L Issued in PA

Practice address

3110 Grant Ave
Philadelphia, PA 19114-2542

Phone

(215) 409-9300

Fax

(215) 409-9368

NPI assigned

Mar 22, 2007

Last updated

Apr 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aria Health Physician Services

  dba Geoffrey W. Temple Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD (past)
• Aria Health Orthopaedics of New Jersey PC

  • Orthopaedic Surgery Physician
  • Cherry Hill, NJ
  • NPI 1790021467
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1881710572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-1672",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781672",
            "telephone_number": "215-409-9300",
            "fax_number": "215-409-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-409-9300",
            "fax_number": "215-409-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGINAW",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009705L",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "8801588",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "082787",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Badar Bin Bilal Shafi
• Michael Shafik, D.O.
• Neha Shafique, MD
• Leah Shafran Topaz, BPT
• Yevgeniy Shagas, D.P.M.
• Elena Shagisultanova, MD, PHD
• John Andrew Patrick Shagren II, LPN
• Aekata Shah
• Amish Shah, RPH
• Amish C Shah, M.D.

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.