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

Individual provider Physical Therapist · NPI 1861896722

Theda Lumagod Shishkin, PT is a Physical Therapist in Bronx, New York. Licensed in New York. Registered with an NPI since 2014.

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.

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Practice location Address checks out

817 E 180th St
Bronx, NY 10460-1305
Phone: (718) 220-6262
Fax: (718) 355-9652
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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 032313 (NY)

Record details

NPI number1861896722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESNovember 29, 2016

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