Individual provider Active NPI

Shaina Flanzraich, PT, DPT, NCS

  • Neurology Physical Therapist
  • Melville, NY
National Provider Identifier
1891316139
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
034201-1 Issued in NY
Practice address
3237 1800 Walt Whitman Rd
120
Melville, NY 11747
Phone
(631) 694-0005
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 034201-1 NY Primary

Addresses

Primary practice location

3237 1800 Walt Whitman Rd
120
Melville, NY 11747

Mailing address

15 Shelart St
Plainview, NY 11803-1420

Other identifiers 1

IdentifierTypeStateIssuer
034201-1OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nyphysicaltherapy.net Direct

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

State licenses

LicenseStateTypeSpecialty
034201NYMDOrthodontics and Dentofacial Orthopedic Dentist
034201-1NYMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1891316139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHELART ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 1800 WALT WHITMAN RD",
            "address_2": "120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-694-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANZRAICH",
        "first_name": "SHAINA",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "034201-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "034201-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nyphysicaltherapy.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3237 1800 Walt Whitman Rd",
            "address_2": "120",
            "city": "Melville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.