Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shishkin Physical Therapy Rehab PC

Organization Physical Therapist · NPI 1649874405

Shishkin Physical Therapy Rehab PC provides Physical Therapist services in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 E Broadway Fl 3
New York, NY 10002-7037
Phone: (212) 233-0889
Fax: (212) 233-0898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1649874405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theda Shishkin — Pt · (347) 320-0155
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address7945 Grand Ave Fl 2, Elmhurst, NY 11373-4129

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