Individual provider Active NPI

Akshi Shah

  • Physical Therapist
  • New York, NY
National Provider Identifier
1992224877
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041628-1 Issued in NY
Practice address
171 E 84TH St FL 2
New York, NY 10028-2029
Phone
(212) 327-0600
Fax
(212) 327-0776
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041628-1 NY Primary

Addresses

Primary practice location

171 E 84TH St FL 2
New York, NY 10028-2029

Mailing address

19 Meadow Brook Rd
Edison, NJ 08837-2003
Phone (904) 412-9691

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171109001225 NY Practitioner - Physical Therapist in Private Practice 4284990193
I20221122003603 NJ Practitioner - Physical Therapist in Private Practice 4284990193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
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)

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 669-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041628-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Profitness Physical Therapy PC Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Jul 18, 2023 Accepting new patients
Profitness Physical Therapy PastSince Aug 28, 2017 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

3830 Park Ave
Ste 202
Edison, NJ 08820
Phone (732) 494-0895

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

453 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 388-4184

171 E 84th St
Fl 2
New York, NY 10028
Phone (212) 327-0600

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1992224877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEADOW BROOK RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372003",
            "telephone_number": "904-412-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E 84TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282029",
            "telephone_number": "212-327-0600",
            "fax_number": "212-327-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AKSHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041628-1",
            "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 Sep 12, 2017; 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.