Poorna Bhaskar Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01579900 Issued in NJ

Practice address

1070 Clifton Ave Ste 1
Clifton, NJ 07013-3619

Phone

(973) 246-6565

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians

Dr D Physical Therapy LLCGroup PAC ID 2769876325, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr D Physical Therapy LLC

  • Physical Therapist
  • Clifton, NJ
  • NPI 1184379745
  Medicare reassignment Care Compare group NPD
• Holsman Physical and Occupational Therapy, PC

  • Geriatric Physical Therapist
  • Rahway, NJ
  • NPI 1114276441
  Medicare reassignment Care Compare group NPD
• Holsman Physical Therapy and Rehabilitation PC

  • Geriatric Physical Therapist
  • Clifton, NJ
  • NPI 1629350467
  Medicare reassignment NPD
• Holsman Physical Therapy and Wellness PC

  • Geriatric Physical Therapist
  • Cedar Grove, NJ
  • NPI 1578816179
  Medicare reassignment NPD
• Home Therapy, LLC

  • Geriatric Physical Therapist
  • Clifton, NJ
  • NPI 1295962835
  Medicare reassignment NPD
• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069
  NPD

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1891252748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE STE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "973-246-6565",
            "fax_number": "973-883-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE STE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "973-246-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "POORNA",
        "middle_name": "BHASKAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01579900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilip Amrytlal Shah, MD
• Hiten N Shah
• Kavitha Shah, M.D
• Kimi Sudhir Shah
• Neepa Bankim Shah, DMD
• Shital P Shah, D.O.
• Shivani V Shah, DO
• Shweta Shah, DDS
• Srishti Shah, D.O.
• Tejash Shah, CRNA

• Physical Therapist in Clifton, NJ
• Providers in Clifton, 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 Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.