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

Nicky S Shah, PT

Individual provider Physical Therapist · NPI 1275948002

Nicky S Shah, PT is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2008, 18 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1650 Selwyn Ave
Bronx, NY 10457-7626
Phone: (718) 579-3940
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9708 Springfield Blvd, Queens Village, NY 11429-1329 — (706) 615-7539

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032564 (NY)

Record details

NPI number1275948002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 1, 2014
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address1650 Selwyn Ave, Bronx, NY 10457-7626

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bronx