Active NPI
Nisharag Ashok Shah, PT, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1033638325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296088
- Practice address
- 432 S Curson Ave Apt 8J
Los Angeles, CA 90036-5289 - Phone
- (224) 645-2695
- NPI assigned
- Sep 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 296088 | CA | Primary |
Addresses
Primary practice location
432 S Curson Ave Apt 8J
Los Angeles, CA 90036-5289
Mailing address
432 S Curson Ave Apt 8J
Los Angeles, CA 90036-5289
Phone (224) 645-2695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1033638325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S CURSON AVE APT 8J",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365289",
"telephone_number": "224-645-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 S CURSON AVE APT 8J",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365289",
"telephone_number": "224-645-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NISHARAG",
"middle_name": "ASHOK",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-18",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.