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

Jisuk Shin, PTA

Individual provider Physical Therapy Assistant · NPI 1679391759

Jisuk Shin, PTA is a Physical Therapy Assistant in Huntington Station, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

315 Walt Whitman Rd Ste 214
Huntington Station, NY 11746-4112
Phone: (631) 923-0334
Fax: (631) 923-0335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1679391759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 28, 2024
Last updated in NPPESSeptember 28, 2024
Certification dateSeptember 28, 2024

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