| Kruti B Shah, | |
|
56 Haywood Ln, Rensselaer, NY 12144-5833 | |
| (973) 234-7843 | |
| Not Available |
| Full Name | Kruti B Shah |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 56 Haywood Ln, Rensselaer, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366026080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 047090 (New York) | Primary |
| Provider Name | Esd Pt Ot & Slp Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20190305001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Kruti B Shah, 56 Haywood Ln, Rensselaer, NY 12144-5833 Ph: (973) 234-7843 | Kruti B Shah, 56 Haywood Ln, Rensselaer, NY 12144-5833 Ph: (973) 234-7843 |
Irene Somerville, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 Phone: 518-326-3771 Fax: 518-776-1070 | |
Amber M Thornton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Empire Dr Ste 202, Rensselaer, NY 12144 Phone: 518-286-4990 | |
Jon Paul Van Kempen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Agway Dr, Rensselaer, NY 12144 Phone: 518-326-9065 Fax: 518-326-9064 | |
Stefanie L Walsh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Empire Dr Ste 202, Rensselaer, NY 12144 Phone: 518-286-4990 | |
Lori Costanzo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Empire Dr, Rensselaer, NY 12144 Phone: 518-286-4990 Fax: 518-286-4988 | |
Suzanne Debauche, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Empire Dr, Rensselaer, NY 12144 Phone: 518-286-4990 Fax: 518-286-4988 |