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NPI Code Detail

MEDICARE: SUNNYSHAHDPT

MEDICARE: SUNNYSHAHDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1093678278
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNYSHAHDPT
Provider Business Mailing Address
First Line : 5209 INLET DR
Second Line :
City : BENSALEM
State : PA
Zip : 19020-4048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5209 INLET DR
Second Line :
City : BENSALEM
State : PA
Zip : 19020-4048
Country : US
Telephone Number : 215-280-4416
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SUNNY SHAH
Credential : DPT
Telephone Number : 215-280-4416
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “SUNNYSHAHDPT ” Practice Location

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