Individual provider Active NPI

Athar Shakeel

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1952016958
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047438 Issued in NY
Practice address
280 W 231St St # 607
Bronx, NY 10463-3940
Phone
(718) 514-6120
NPI assigned
Jan 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02299000 NJ
Physical Therapist 225100000X 047438 NY Primary

Addresses

Primary practice location

280 W 231St St # 607
Bronx, NY 10463-3940

Mailing address

280 W 231St St
Bronx, NY 10463-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231207002584 NY Practitioner - Physical Therapist in Private Practice 9234588823 Reassigns benefits to 1 organization
I20250721004013 NJ Practitioner - Physical Therapist in Private Practice 9234588823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

3540 JFK Blvd
3Rd Floor
Jersey City, NJ 07307-3450
Phone (201) 942-3871

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047438NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Nov 30, 2023 Accepting new patients

Locations

515 Brick Blvd
Brick, NJ 08723
Phone (732) 800-6015

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

280 W 231st St
#607
Bronx, NY 10463

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

Organizations & group practices 3

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1952016958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 231ST ST # 607",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633940",
            "telephone_number": "718-514-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKEEL",
        "first_name": "ATHAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02299000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.