Purvi D Shah, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013122 Issued in MI

Practice address

1663 Stephenson Hwy
Troy, MI 48083-2169

Phone

(248) 327-6619

Fax

(248) 327-6628

NPI assigned

Apr 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purvi Ashokkumar Gaiwala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Home Care LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1104946508
  NPD (past) Authorized official
• Professional Therapy Solutions, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Troy, MI
  • NPI 1750518288
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1013159185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "248-327-6619",
            "fax_number": "248-327-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "248-327-6619",
            "fax_number": "248-327-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PURVI",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "5501013122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PURVI",
            "last_name": "GAIWALA",
            "middle_name": "ASHOKKUMAR",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Divyaben R Shah, RN
• Mayank Shah
• Nimesh Shah, RPT
• Niyati Shah, PT
• Payal Shah, M.D.
• Radhika Shah, FNP-BC
• Riddhish Ashokkumar Shah, RPT
• Rikin Shah, PT
• Sachin K Shah, M.D.
• Kenneth W Shaheen, M.D.

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.