Individual provider Active NPI

Nandita Shah, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1174854228
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1246537 Issued in TX
Practice address
5804 Coit Rd Ste 108
Plano, TX 75023-5957
Phone
(972) 767-7273
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 070017411 IL
Physical Therapist 225100000X 1246537 TX Primary

Addresses

Primary practice location

5804 Coit Rd Ste 108
Plano, TX 75023-5957

Mailing address

9236 Old Veranda Rd
Plano, TX 75024-7082
Phone (312) 799-9949

Other practice location 1

5930 W Park Blvd Ste 600
Plano, TX 75093-4377
Phone (972) 996-4660

Other identifiers 2

IdentifierTypeStateIssuer
1246537OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
070017411OtherILDEPARTMENT OF PROFESSIONAL REGULATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815003702 TX Practitioner - Physical Therapist in Private Practice 7315274149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyzical Therapy and Balance Centers- Plano LLCGroup PAC ID 3870829757, 8 clinicians

Practice addresses (Care Compare)

5804 Coit Rd
Suite 108
Plano, TX 75023-5957
Phone (312) 799-9949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070017411ILMDPhysical Therapist
1246537TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Therapy and Balance Centers- Plano LLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients

Locations

5930 W Park Blvd
Ste 600
Plano, TX 75093
Phone (972) 996-4660

5804 Coit Rd
Ste 108
Plano, TX 75023
Phone (312) 799-9949

Organizations & group practices 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1174854228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 OLD VERANDA RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247082",
            "telephone_number": "312-799-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 COIT RD STE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235957",
            "telephone_number": "972-767-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 W Park Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934377",
            "country_code": "US",
            "telephone_number": "972-996-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NANDITA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017411",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1246537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1246537",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PROFESSIONAL REGULATION",
            "identifier": "070017411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.