Jiten Krishnakant Shah, L.P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1015048 Issued in TX

Practice address

419 W Wheatland Rd
Suite 102
Duncanville, TX 75116-4619

Phone

(972) 296-1808

Fax

(972) 296-3777

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Irst Health

  • Family Medicine Physician
  • Irving, TX
  • NPI 1841586179
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1043259583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W WHEATLAND RD",
            "address_2": "SUITE 102",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164619",
            "telephone_number": "972-296-1808",
            "fax_number": "972-296-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W WHEATLAND RD",
            "address_2": "SUITE 102",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164619",
            "telephone_number": "972-296-1808",
            "fax_number": "972-296-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JITEN",
        "middle_name": "KRISHNAKANT",
        "name_prefix": "Mr.",
        "credential": "L.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1015048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932229507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serve All Medical Duncanville, PLLC
• Serve All Medical Duncanville, PLLC
• Serving With a Purpose
• Kimberley Session-Hunt
• Kimeka T Settle, FNP
• Sharons Loving Home Health Care
• Kimber Shelton, PHD
• Mandy Shu
• Cherlyn Evette Shultz-Ruth, DNP, MSN, RN NURSE
• Jonathan R Silverman, DC

• Physical Medicine & Rehabilitation Physician in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.