Provider Demographics
NPI:1891035317
Name:NAKASHIMA, SHELDON (DPT, OCS,SCS, CAMT)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:
Last Name:NAKASHIMA
Suffix:
Gender:M
Credentials:DPT, OCS,SCS, CAMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 W 44TH ST STE 302B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8105
Mailing Address - Country:US
Mailing Address - Phone:808-218-8345
Mailing Address - Fax:718-440-8686
Practice Address - Street 1:36 W 44TH ST STE 302B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8105
Practice Address - Country:US
Practice Address - Phone:808-218-8345
Practice Address - Fax:718-440-8686
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0353392251X0800X, 2251S0007X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports