Provider Demographics
NPI:1114017415
Name:KARANI SHAH, AKSHITA M (PT)
Entity type:Individual
Prefix:
First Name:AKSHITA
Middle Name:M
Last Name:KARANI SHAH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AKSHITA
Other - Middle Name:M
Other - Last Name:KARANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 MUDIE CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3580
Mailing Address - Country:US
Mailing Address - Phone:973-652-8482
Mailing Address - Fax:732-828-3288
Practice Address - Street 1:1460 LIVINGSTON AVE
Practice Address - Street 2:BLDG 400
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902
Practice Address - Country:US
Practice Address - Phone:973-652-8482
Practice Address - Fax:732-828-3288
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT40QA01104900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist