Kavan Muneshbhai Shah, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 40049 Issued in CA

Practice address

19015 Town Center Dr Ste 102
Apple Valley, CA 92308-8995

Phone

(760) 961-4240

Fax

(760) 961-4705

NPI assigned

Mar 28, 2013

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Axcend Physical Therapy

  • Physical Therapy Clinic/Center
  • Apple Valley, CA
  • NPI 1558839209

  Physical Therapist

  Medicare reassignment NPD
• Elite Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1083957096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 TOWN CENTER DR STE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088995",
            "telephone_number": "760-961-4240",
            "fax_number": "760-961-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 TOWN CENTER DR STE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088995",
            "telephone_number": "760-961-4240",
            "fax_number": "760-961-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAVAN",
        "middle_name": "MUNESHBHAI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhishek Seth, MD
• James Ken Seto, PA-C
• Abigail Owusu Sewalt, OTR
• Shannon Desiree Seymour
• Dipakkumar B Shah, PHARMACIST
• Bashar Mousa Shahatit, M.D.
• Shanti Mohan Medical Clinic, Inc.
• Kartik Joshua Sharma, MBBS
• Shatha Bakir, M.D., Inc.
• Bryan Jonathan Shaver, PPS-220202781

• Physical Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.