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

Individual provider Physical Therapist · NPI 1245557842

Archan Pradip Shah, MSPT is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

3514 Mermaid Ave Ste 003
Brooklyn, NY 11224-1508
Phone: (718) 996-1100
Fax: (718) 676-9511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032358 (NY)

Record details

NPI number1245557842
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedApril 23, 2010
Last updated in NPPESApril 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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