Mir Shithil (NPI# 1790321065, PAC ID# 6901230234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790321065 |
| PAC ID by PECOS | 6901230234 |
| Professional Enrollment ID | I20191219002117 |
| Full Name | Mir Shithil |
| Organization Legal Name | PROFORM PHYSICAL THERAPY LLC |
| Address |
1212 State Route 34 24-25 Aberdeen NJ 07747-1903 |
| Phone Number | 7329707882 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9436383114 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 | 7329707882 | PROFORM PHYSICAL THERAPY LLC |
| 510 Hwy 18, East Brunswick, NJ 08816-3092 | 7325548330 | PROFORM PHYSICAL THERAPY LLC |
| Organization Legal Name | PROFORM PHYSICAL THERAPY LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Chaviano | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Kara Perkins | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Michael Skelly | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Liliane B Scafidi | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Deirdre Vira | Physical Therapy | Proform Physical Therapy LLC | 2124 State Route 35, Holmdel, NJ 07733-1084 |
| Zachary Theinert | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Erica J Beckenhauer | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Erik C Hums | Physical Therapy | Proform Physical Therapy LLC | 2124 State Route 35, Holmdel, NJ 07733-1084 |
| Leonard J Somarriba | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| John P Scafidi | Physical Therapy | Proform Physical Therapy LLC | 2124 State Route 35, Holmdel, NJ 07733-1084 |
| Street Address |
1212 STATE ROUTE 34 24-25 |
| City | ABERDEEN |
| State | NJ |
| Zip | 07747-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Chaviano | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Kara Perkins | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Michael Skelly | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Liliane B Scafidi | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Zachary Theinert | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Erica J Beckenhauer | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Leonard J Somarriba | Physical Therapy | Proform Physical Therapy LLC | 1212 State Route 34 24-25, Aberdeen, NJ 07747-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Shannon | Psychologist, Clinical | 2 Nawatam Way, Matawan, NJ 07747 | |
| Mark Goldberg | Podiatry | 4 Ambler Ln, Matawan, NJ 07747-1205 | |
| Vasantha K Perkari | Internal Medicine | 428 Lloyd Rd, Aberdeen, NJ 07747-1552 | |
| Nagy N Guirguis | Internal Medicine | 301 Church St, Aberdeen, NJ 07747-1554 | |
| Amal W Azer | Physical Medicine and Rehabilitation | 301 Church St, Aberdeen, NJ 07747-1554 | |
| Falguni B Patel | Obstetrics/gynecology | 1340 Route 34, Suite A, Aberdeen, NJ 07747-1947 | |
| Robert J Bennett | Psychiatry | Cpc Behavioral Healthcare Inc | 1088 Hwy 34, Matawan, NJ 07747-1948 |
| Brenda D Whitaker | Nurse Practitioner | Cpc Behavioral Healthcare Inc | 1088 Hwy 34, Matawan, NJ 07747-1948 |
| Molly B Restine | Clinical Social Worker | Cpc Behavioral Healthcare Inc | 1088 Hwy 34, Aberdeen, NJ 07747-1948 |
| Daniel Chavez | Clinical Social Worker | Cpc Behavioral Healthcare Inc | 1088 Hwy 34, Aberdeen, NJ 07747-1948 |
| Find all physicians in zip 07747 | |||
| City | ABERDEEN |
| Zip Code | 07747 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ABERDEEN + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.