SHISHKIN PHYSICAL THERAPY REHAB PC
NPI 1649874405
Physical Therapist in New York, NY

Active since November 23, 2020
107 E BROADWAY FL 3, NEW YORK, NY 10002(212) 233-0889(212) 233-0898 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist

About SHISHKIN PHYSICAL THERAPY REHAB PC

This page provides the complete NPI Profile along with additional information for Shishkin Physical Therapy Rehab Pc, a provider established in New York, New York operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1649874405 assigned on November 2020. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Theda Shishkin Dpt (Pt)

NPI
1649874405 Verify this NPI
Provider Name
SHISHKIN PHYSICAL THERAPY REHAB PC
Entity Type
Organization
Location Address
107 E BROADWAY FL 3 NEW YORK, NY 10002
Location Phone
(212) 233-0889
Location Fax
(212) 233-0898
Mailing Address
7945 GRAND AVE FL 2 ELMHURST, NY 11373
Mailing Phone
(347) 320-0155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2020
Last Update Date
11-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THEDA SHISHKIN DPT

Authorized Official Title
PT
Authorized Official Phone
(347) 320-0155

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
04599340MEDICAID (05)NY 

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Acupuncturist
107 E BROADWAY FL 3
NEW YORK, NY 10002
Physical Therapist
107 E BROADWAY FL 3
NEW YORK, NY 10002
Clinic/Center (Physical Therapy)
107 E BROADWAY FL 3
NEW YORK, NY 10002
Acupuncturist
107 E BROADWAY FL 3
NEW YORK, NY 10002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649874405, enumerated as an "organization" on November 23, 2020.

The provider is located at 107 E BROADWAY FL 3 NEW YORK, NY 10002 and the phone number is (212) 233-0889.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.