Active NPI
Kunal Shah, DPT
- Physical Therapist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022122
- Practice address
- 1212 S Naper Blvd
Suite 104
Naperville, IL 60540-8360 - Phone
- (630) 369-2340
- Fax
- (630) 369-2859
- NPI assigned
- Sep 27, 2016
- Last updated
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.022122 | IL | Primary |
Addresses
Primary practice location
1212 S Naper Blvd
Suite 104
Naperville, IL 60540-8360
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Commons Dr
Geneva, IL 60134-2539
Phone (630) 208-7831
1212 S Naper Blvd
Suite 104
Naperville, IL 60540-8398
Phone (630) 369-2340
1275 N Convent St
Suite 3
Bourbonnais, IL 60914-8211
Phone (815) 936-1855
1515 Butterfield Rd
Suite 105
Aurora, IL 60502-8930
Phone (630) 947-7360
218 N Bolingbrook Dr
Bolingbrook, IL 60440-2386
Phone (630) 972-1541
4334 Fox Valley Ctr Dr
Aurora, IL 60504-7945
Phone (630) 236-7544
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.61 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 70.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.022122 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4334 Fox Valley Center Dr
Aurora, IL 60504
Phone (630) 236-7544
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
1212 S Naper Blvd
Ste 104
Naperville, IL 60540
Phone (630) 369-2340
790 Royal Saint George Dr
Ste 124
Naperville, IL 60563
Phone (630) 355-5255
2940 Rollingridge Rd
Ste 100
Naperville, IL 60564
Phone (630) 369-4771
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1205385648",
"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": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 S NAPER BLVD",
"address_2": "SUITE 104",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408360",
"telephone_number": "630-369-2340",
"fax_number": "630-369-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KUNAL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.