Active NPI
Priti Pravin Shinde
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02069300
- Practice address
- 240 E 54TH St
New York, NY 10022-5286 - Phone
- (212) 371-7001
- NPI assigned
- Nov 25, 2019
- Last updated
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012275 | CT | |
| Physical Therapist | 225100000X | 11166298-2401 | UT | |
| Physical Therapist | 225100000X | 045009-01 | NY | |
| Physical Therapist | 225100000X | 40QA02069300 | NJ | Primary |
Addresses
Primary practice location
240 E 54TH St
New York, NY 10022-5286
Mailing address
220 Harmon Cove Tower
Secaucus, NJ 07094-1729
Phone (917) 935-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Newark Ave
Suite 304
Jersey City, NJ 07306-1356
Phone (201) 624-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045009 | NY | MD | Pharmacist |
| 012275 | CT | MD | Physical Therapist |
| 40QA02069300 | NJ | MD | Physical Therapist |
| 045009-01 | NY | MD | Physical Therapist |
| 11166298-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehab Somerset PA | Current | Accepting new patients | |
| Advanced Ortho & Pain Center Inc | Physical Therapist | Current | Accepting new patients |
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Trinity Rehab Somerset PA | Current | Accepting new patients | |
| Advanced Garden State Cardiology LLC | Current | Accepting new patients | |
| Sportsmed PT LLC | Physical Therapist | Current | Accepting new patients |
Locations
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905
550 Newark Ave
Ste 304
Jersey City, NJ 07306
Phone (201) 222-1400
550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111
328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701
175 Route 37 W
#R
Toms River, NJ 08755
211 Berdan Ave
Wayne, NJ 07470
Phone (201) 249-6930
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGAICD
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1639481583
-
- Physical Therapist
- Glen Rock, NJ
- NPI 1841787645
-
- Physical Therapist
- Somerset, NJ
- NPI 1245789064
-
dba Trinity Rehab North Wales PA
- Physical Therapy Clinic/Center
- North Wales, PA
- NPI 1144892852
-
dba Trinity Rehab Emerson
- Physical Therapy Clinic/Center
- Emerson, NJ
- NPI 1487268421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1912543984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HARMON COVE TOWER",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070941729",
"telephone_number": "917-935-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E 54TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225286",
"telephone_number": "212-371-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINDE",
"first_name": "PRITI PRAVIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "012275",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11166298-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045009-01",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02069300",
"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 Aug 1, 2025; 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.