Individual provider Active NPI

Payal Shailesh Mehta, PT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1124883608
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019483 Issued in CO
Practice address
4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652
Phone
(303) 564-5008
Fax
(720) 484-4329
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 PTL.0019483 CO Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158

Other names 1

  • Mehta Payal Shailesh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J Medical Inc Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients
J Medical Inc CurrentSince Mar 15, 2024 Accepting new patients

Locations

12500 E Iliff Ave
Ste 320
Aurora, CO 80014
Phone (303) 862-8853

4350 Wadsworth Blvd
Ste 425
Wheat Ridge, CO 80033
Phone (303) 238-6575

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1124883608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 425",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334652",
            "telephone_number": "303-564-5008",
            "fax_number": "720-484-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PAYAL",
        "middle_name": "SHAILESH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHTA",
            "last_name": "SHAILESH",
            "middle_name": "PAYAL",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.