MEDICARE: ANUSHKA SHAH

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
1	208100000X	Physical Medicine & Rehabilitation Physician	PT40076	FL
2	2251X0800X	Orthopedic Physical Therapist	PT40076	FL

General Provider Information

NPI Number	:	1245934785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUSHKA SHAH

Provider Business Mailing Address
First Line	:	2440 HOOKS ST
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-3514
Country	:	US
Telephone Number	:	352-394-2862
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 HOOKS ST
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-3514
Country	:	US
Telephone Number	:	352-394-2862
Fax Number	:	352-394-2861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	04/06/2026

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Directions to “ ANUSHKA SHAH ” Practice Location

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