Shan L Pathan
Shan L Pathan is a Physical Therapist in Private Practice in Jackson Heights, New York. Qualified in 2012, 14 years ago. Practices with Rehab on Wheels OT PT PLLC, a 49-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 14
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
3551 94th St Apt 4AJackson Heights, NY 11372-5917
Phone: (347) 266-1627
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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 054396 (NY) |
|---|
Record details
| NPI number | 1548028244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2024 |
| Last updated in NPPES | July 31, 2026 |
| Certification date | July 31, 2026 |
| Mailing address | 3551 94th St Apt 4a, Jackson Heights, NY 11372-5917 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Rehab On Wheels Ot Pt Pllc — 49 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Jackson Heights
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Dhruvi Patel
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Queens Hands- on Physical Therapy PC
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