Individual provider Active NPI

Shailaja Shah

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1023463445
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024920 Issued in PA
Practice address
450 Powers Ave
Harrisburg, PA 17109-5933
Phone
(717) 761-5530
NPI assigned
May 4, 2016
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024920 PA Primary

Addresses

Primary practice location

450 Powers Ave
Harrisburg, PA 17109-5933

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 839-2110

Other practice location 1

820 Sir Thomas Ct
Harrisburg, PA 17109-4839
Phone (717) 724-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002242 PA Practitioner - Physical Therapist in Private Practice 4587953211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

450 Powers Ave
Harrisburg, PA 17109-5933
Phone (717) 920-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024920PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince May 2, 2016 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince May 2, 2016 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Osl Dba Orthopedic Institute of PA Physical Therapist CurrentSince May 2, 2016 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist CurrentSince May 2, 2016 Accepting new patients
Orthopedic Surgeons LTD Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

450 Powers Ave
Lowr
Harrisburg, PA 17109
Phone (717) 920-4950

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1023463445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 POWERS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095933",
            "telephone_number": "717-761-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Sir Thomas Ct",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-724-4870",
            "fax_number": "888-974-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAILAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.