Individual provider Active NPI

Niraj Shah, OT/R

  • Occupational Therapist
  • Dublin, OH
National Provider Identifier
1174157036
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009708 Issued in OH
Practice address
6099 Riverside Dr
Dublin, OH 43017-2004
Phone
(740) 953-1184
NPI assigned
Feb 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 009708 OH Primary

Addresses

Primary practice location

6099 Riverside Dr
Dublin, OH 43017-2004

Mailing address

4134 Bryson Cove Cir
Dublin, OH 43016-5020
Phone (614) 397-2543

Other identifiers 1

IdentifierTypeStateIssuer
009708OtherOHSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200330001572 OH Practitioner - Occupational Therapist in Private Practice 2769811538 Reassigns benefits to 1 organization
I20260109001596 IN Practitioner - Occupational Therapist in Private Practice 2769811538 Reassigns benefits to 1 organization
I20260121001228 MI Practitioner - Occupational Therapist in Private Practice 2769811538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

Brighton, MI 48116
Phone (740) 953-1184

110 E Wayne St
Suite 1215
Fort Wayne, IN 46802-2612
Phone (614) 271-2625

6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009708OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Therapy LLC Occupational Therapist CurrentSince Mar 5, 2020 Accepting new patients
Advanced Wound Healing LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

7927 Nemco Way
Ste 120
Brighton, MI 48116
Phone (740) 953-1184

1515 Bethel Rd
Ste 301
Columbus, OH 43220
Phone (740) 953-1184

6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625

6099 Riverside Dr
Dublin, OH 43017
Phone (740) 953-1184

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1174157036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 BRYSON COVE CIR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430165020",
            "telephone_number": "614-397-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004",
            "telephone_number": "740-953-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAJ",
        "credential": "OT/R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "009708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.