Individual provider Active NPI

Vaidehi Shah

  • Physical Therapist
  • Newton, NJ
National Provider Identifier
1063939601
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02053500 Issued in NJ
Practice address
280 Newton Sparta Rd
Newton, NJ 07860-2775
Phone
(973) 494-7774
Fax
(973) 774-5031
NPI assigned
Aug 24, 2017
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 40QA02053500 NJ Primary

Addresses

Primary practice location

280 Newton Sparta Rd
Newton, NJ 07860-2775

Mailing address

43 Berkshire PL Apt 1
Hackensack, NJ 07601-7237
Phone (248) 425-4319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000004 NJ Practitioner - Physical Therapist in Private Practice 8022346345 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
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 TherapyGroup PAC ID 9436324886, 41 clinicians
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

140 N Rte
17 Suite 272
Paramus, NJ 07652-2800
Phone (201) 261-4343

150 Mountain Ave
Suite 1
Hackettstown, NJ 07840-2360
Phone (908) 517-5174

390 State Route 10
Suite 202
Randolph, NJ 07869-2141
Phone (973) 895-9925

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 669-0078

8 Town Ctr Dr
Suite 1
Sparta, NJ 07871-1989
Phone (973) 726-3800

95 Somerville Rd
Bedminster, NJ 07921-2638
Phone (908) 234-9668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02053500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
Drayer Physical Therapy of New Jersey LLC Physical Therapist Current Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
Drayer Physical Therapy of New Jersey LLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Drayer Physical Therapy of New Jersey LLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Beyond Radix LLC Physical Therapist Past Accepting new patients

Locations

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

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

244 Route 206
Ste 3
Flanders, NJ 07836
Phone (973) 598-3077

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

280 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 494-7774

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

390 State Route 10
Ste 202
Randolph, NJ 07869
Phone (973) 895-9925

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

8 Town Center Dr
Ste 1
Sparta, NJ 07871
Phone (973) 726-3800

1325 Warren Ave
Ste 5
Spring Lake, NJ 07762
Phone (732) 449-7855

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

576 Broadhollow Rd
Melville, NY 11747

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.