Vaidehi Shah

Key facts

NPI

1063939601

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

40QA02053500 (NJ)

Practice address

280 Newton Sparta Rd
Newton, NJ 07860-2775

Phone

(973) 494-7774

Fax

(973) 774-5031

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

Organizations & group practices 14

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.

• Sportscare of America, PC Physical Therapist · East Hanover, NJ · NPI 1851484380
  Medicare reassignment Care Compare group NPD NJ · PHYSICAL THERAPIST
• United Sports Care & Physical Therapy Occupational Therapist · Cedar Knolls, NJ · NPI 1972881233
  Medicare reassignment Care Compare group NPD NJ · PHYSICAL THERAPIST
• Jag-One Physical Therapy, LLC Physical Therapist · West Orange, NJ · NPI 1518017144
  Medicare reassignment Care Compare group NJ
• Drayer Physical Therapy of New Jersey LLC Physical Therapist · Flanders, NJ · NPI 1154746477
  Medicare reassignment NPD NJ · PHYSICAL THERAPIST
• Ivyrehab Network Inc. Physical Therapist · Hoboken, NJ · NPI 1174577274
  Medicare reassignment NPD NJ · PHYSICAL THERAPIST
• Professional Occupational & Physical Therapy, PLLC Occupational Therapist · Sicklerville, NJ · NPI 1215487772
  Medicare reassignment NPD NJ · PHYSICAL THERAPIST
• Rock Lodge Ventures, Inc Physical Medicine & Rehabilitation Physician · Hackettstown, NJ · NPI 1770378697
  Medicare reassignment NJ
• Drayer Physical Therapy of New Jersey LLC Physical Therapist · Sparta, NJ · NPI 1568887875
  NPD PHYSICAL THERAPIST
• Drayer Physical Therapy of New Jersey LLC Physical Therapist · Stanhope, NJ · NPI 1982368403
  NPD PHYSICAL THERAPIST
• Ivyrehab Network Inc Physical Therapist · Hoboken, NJ · NPI 1861623753
  NPD PHYSICAL THERAPIST
• Ivyrehab Network, Inc. Physical Medicine & Rehabilitation Physician · Cranford, NJ · NPI 1699590265
  NPD PHYSICAL THERAPIST
• Professional Occupational & Physical Therapy, PLLC Occupational Therapist · Randolph, NJ · NPI 1104376680
  NPD PHYSICAL THERAPIST
• Professional Occupational & Physical Therapy, PLLC Occupational Therapist · Whitestone, NY · NPI 1487104261
  NPD PHYSICAL THERAPIST
• Beyond Radix LLC Physical Therapist · Secaucus, NJ · NPI 1366088890
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Sports Care and Physical Therapy (41 clinicians)
Jag-One Physical Therapy LLC (334 clinicians)
Professional Occupational and Physical Therapy, PLLC (497 clinicians)
Sportscare of America, PC (132 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 4, 2023.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1063939601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BERKSHIRE PL APT 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017237",
            "telephone_number": "248-425-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "973-494-7774",
            "fax_number": "973-774-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VAIDEHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02053500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

• Caitlin E Selan, PA-C
• Kathryn A Sellers, PT
• Serenity Healthcare LLC
• Samir Dilip Shah, M.D.
• Vaidahi Shah
• Kevin Michael Shaw, DC
• Glenn S Sherman, MD
• Deena Shewekah, APRN
• Shomaf Nakhjo, D.O. LLC
• Douglas P Sieminski, DO

All providers in Newton, NJ · Physical Therapist in New Jersey