Shivani Shah
Individual provider Active NPI Physical Therapist · Houston, GA
NPI 1083314488 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1083314488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT016473 (GA)
- Practice address
- 660 Lake Joy Rd Ste D
Houston, GA 31947 - Phone
- (478) 313-5385
- Fax
- (478) 313-5429
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Independent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
898 Hampton Rd
McDonough, GA 30253-6514
Phone (678) 583-8709
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230316000447 | GA | Practitioner - Physical Therapist in Private Practice | 2264806181 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy, Inc | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1441 Dresden Dr NE
Ste 290
Brookhaven, GA 30319
Phone (470) 575-4333
7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609
2838 E Atlanta Rd
Ste 2
Ellenwood, GA 30294
Phone (678) 782-3609
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280
898 Hampton Rd
McDonough, GA 30253
Phone (678) 583-9954
2120 W Spring St
Ste 1600
Monroe, GA 30655
Phone (678) 712-3686
1111 Lower Fayetteville Rd
Ste 2000
Newnan, GA 30265
Phone (770) 251-7284
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
4135 Lavista Rd
Ste 110
Tucker, GA 30084
Phone (470) 568-2622
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016473 | GA | Yes |
Addresses
Primary practice location
660 Lake Joy Rd Ste D
Houston, GA 31947
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.