Provider Demographics
NPI:1851926208
Name:SHIH, JHENG-KAI (DPT)
Entity Type:Individual
Prefix:DR
First Name:JHENG-KAI
Middle Name:
Last Name:SHIH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:JHENG-KAI
Other - Middle Name:
Other - Last Name:SHIH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:534 W 50TH ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-7034
Mailing Address - Country:US
Mailing Address - Phone:732-907-7550
Mailing Address - Fax:
Practice Address - Street 1:534 W 50TH ST APT 5A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7034
Practice Address - Country:US
Practice Address - Phone:732-907-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040673225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty