Chintan Pragnesh Shah, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01823200 Issued in NJ

Practice address

1719 Main St
Lake Como, NJ 07719-3097

Phone

(732) 894-9200

Fax

(732) 894-9202

NPI assigned

Sep 21, 2018

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Physical Therapy and Sports RehabilitationGroup PAC ID 2860924396, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Garden State Physical Therapy & Sports Rehabilitation

  • Physical Therapy Clinic/Center
  • Morganville, NJ
  • NPI 1336692672

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Allcure of Somerset LLC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
  • NPI 1215695234

  Physical Therapist

  Medicare reassignment NPD
• Function Forward Physical Therapy LLC

  • Physical Therapist
  • Matawan, NJ
  • NPI 1760057947
  Medicare reassignment NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Rothman Orthopaedics of New Jersey, LLC

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment NPD
• Spine & Sports Medicine of Monroe, LLC

  • Sports Physician Chiropractor
  • Monroe, NJ
  • NPI 1750786471
  Medicare reassignment NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Function Forward LLC

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Matawan, NJ
  • NPI 1952029373
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1043794407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 MAIN ST",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193097",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 MAIN ST",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193097",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHINTAN",
        "middle_name": "PRAGNESH",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01823200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PT LICENSE",
            "identifier": "40QA01823200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Bannon Peart, RD
• Elizabeth Piela, D.D.S.,M.S.,F.I.N.D.
• Eleanor C Register, PT,DPT
• Rexford Medical Staffing, LLC
• Steven Rozov
• Charisse Katherine Siracusa, PT,DPT
• Garrett Todd Spencer, PT
• Barbara Marie Squillace, MS, CCC-SLP
• Kelsey Stromberg
• Abelardo Ethan Termulo III, DPT

• Physical Therapist in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.