National Provider Identifier
Jill Shah, PT, DPT
Jill Shah, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 274-4159.
Profile Overview
- NPI
- 1821681503
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
Practice Location
- 10 Brentwood Dr
- Ithaca, NY 14850-1865
Phone: (607) 274-4159
Mailing Address
- 10 Brentwood Dr Ste A
- Ithaca, NY 14850-1866
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1821681503
- Entity Type
- Individual
- Last Name
- Shah
- First Name
- Jill
- Credential
- PT, DPT
- Mailing Street Address
- 10 Brentwood Dr Ste A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1866
- Mailing Country
- US
- Mailing Phone
- (607) 274-4159
- Practice Street Address
- 10 Brentwood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1865
- Practice Country
- US
- Practice Phone
- (607) 274-4159
- Enumeration Date
- February 15, 2021
- Last Updated
- February 15, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- February 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)