Individual ProviderKrishika ShahPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3377 Richmond Ave, Staten Island, NY 10312-2035(646) 820-5669PECOS EnrollmentBased on the most recent information from CMS, provider Krishika Shah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1245806678Provider TypeIndividualFull NameShah, KrishikaGenderFemaleSole ProprietorNoEnumeration Date5/27/2021Last Updated4/5/2022Contact InformationPractice LocationPractice Address3377 Richmond Ave, Staten Island, NY 10312-2035Phone(646) 820-5669Fax(646) 368-8339Mailing LocationMailing Address3377 Richmond Ave, Staten Island, NY 10312-2035Phone(646) 820-5669FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense046881New YorkProvider IdentifiersIDDescriptionIssuerID046881DescriptionOtherIssuerOFFICE OF PROFESSIONSNew York