Grishma Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.019016 Issued in IL

Practice address

13135 Lee Jackson Memorial Hwy Ste 320
Fairfax, VA 22033-1907

Phone

(703) 310-7610

NPI assigned

Aug 11, 2010

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 names 1

• Grishma Mehta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pelvic Pro Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1649017724
  NPD Authorized official
• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)
• Hands-on Sports Medicine Limited Partnership

  • Physical Therapist
  • Chicago, IL
  • NPI 1649384785
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1023323326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY STE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-310-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY STE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-310-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Clark St",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606031802",
            "country_code": "US",
            "telephone_number": "312-368-8400",
            "fax_number": "312-368-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GRISHMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRISHMA",
            "last_name": "MEHTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle A. Shafer, DO
• Amisha Shah
• Aneesah Shah
• Ankit A Shah, M.D.
• Ashita Amit Shah, P.A
• Hiral Shah, MD
• Khushali Shah, MD, MPH
• Mita D Shah, M.D
• Nirali Shah, PA-C
• Parini Parikh Shah, PA-C

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.