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

Jing Shan, PT

Individual provider Pediatric Physical Therapist · NPI 1598732620

Jing Shan, PT is a Physical Therapist in Private Practice in Bayside, New York. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2415 Bell Blvd
Bayside, NY 11360-2222
Phone: (718) 357-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 018320 (NY)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 018320 (NY)

Record details

NPI number1598732620
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2415 Bell Blvd, Bayside, NY 11360-2222

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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