Individual provider Active NPI

Adviti Shah, PT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1154866416
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24573 Issued in MA
Practice address
947 Worcester St
Natick, MA 01760-2032
Phone
(508) 720-0258
Fax
(508) 233-3055
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24573 MA Primary
Physical Therapist 225100000X 26244 MD

Addresses

Primary practice location

947 Worcester St
Natick, MA 01760-2032

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other practice location 1

7501 Greenway Center Dr
suite 800
Greenbelt, MD 20770-3514
Phone (412) 378-1259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190918002430 MA Practitioner - Physical Therapist in Private Practice 4880978212 Reassigns benefits to 1 organization
I20250320002970 CA Practitioner - Physical Therapist in Private Practice 4880978212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eggleton and Langton Physical Therapy Management ServicesGroup PAC ID 0840192530, 64 clinicians

Practice addresses (Care Compare)

2245 Camino Vida Roble
Suite 103
Carlsbad, CA 92011-1557
Phone (760) 683-8959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26244MDMDPharmacist
24573MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 28, 2019 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 28, 2019 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

2245 Camino Vida Roble
Ste 103
Carlsbad, CA 92011
Phone (760) 683-8959

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

488 E Valley Pkwy
Ste 315
Escondido, CA 92025
Phone (619) 489-5555

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

12264 El Camino Real
Ste 102
San Diego, CA 92130
Phone (858) 509-9600

4435 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 578-8669

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

947 Worcester St
Natick, MA 01760
Phone (508) 720-0258

Organizations & group practices 9

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1154866416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602032",
            "telephone_number": "508-720-0258",
            "fax_number": "508-233-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Greenway Center Dr",
            "address_2": "suite 800",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703514",
            "country_code": "US",
            "telephone_number": "412-378-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ADVITI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24573",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.