Shield Physical Therapy PC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

031899 Issued in NY

Legal business name

SHIELD PHYSICAL THERAPY PC

Practice address

8523 Broadway
Unit D
Elmhurst, NY 11373-5866

Phone

(718) 873-2303

Fax

(347) 438-1272

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jaechol Ahn, PT

Title

Physical Therapist

Phone

(646) 600-3291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1992137335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 BROADWAY",
            "address_2": "UNIT D",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735866",
            "telephone_number": "718-873-2303",
            "fax_number": "347-438-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 BROADWAY",
            "address_2": "UNIT D",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735866",
            "telephone_number": "718-873-2303",
            "fax_number": "347-438-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JAECHOL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-600-3291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "031899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tshering Sherpa
• David L. Sherr, M.D.
• Scott Sherwin, M.D.
• Lorinda Sherwood, LCSW
• Rosa Shi, MD
• Laura Shiffrin, PHD
• Tae Shim
• Milana Shimonov
• Farzan Shirazi, M.D.
• Michael F Shirazi, M.D.

• Rehabilitation Hospital Unit in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Rehabilitation Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.