Kena Pankajkumar Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1310356 Issued in TX

Practice address

1011 Medical Plaza Dr Ste 150
The Woodlands, TX 77380-3255

Phone

(281) 367-1912

Fax

(281) 367-5101

NPI assigned

May 23, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Imagine Physical Therapy on Daniel Island LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1972770733

  Physical Therapist

  NPD (past)
• Love of Language

  • Speech-Language Pathologist
  • Mt Pleasant, SC
  • NPI 1184163842
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1174883201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803255",
            "telephone_number": "281-367-1912",
            "fax_number": "281-367-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803255",
            "telephone_number": "281-367-1912",
            "fax_number": "281-367-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KENA",
        "middle_name": "PANKAJKUMAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1310356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Seth, M.D.
• Gurdeep S Sethi, MD
• Jerri P Sethna, MD
• Megan N. Severson, M.D.
• SGS Surgical Assistants, LLC
• Munir A Shah, M.D.
• Haitham T Shaheen, MD
• Atif Shahzad, MD
• Jahanzeb Rafi Shaikh, MD
• Shail Maheshwari MD PLLC

• Physical Therapist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.