Karan Sandip Shah, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018965 Issued in OH

Practice address

684 Avon Belden Rd Ste B
Avon Lake, OH 44012-4111

Phone

(440) 930-5537

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1235735119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 W 130TH ST APT 142K",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307867",
            "telephone_number": "412-608-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 AVON BELDEN RD STE B",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440124111",
            "telephone_number": "440-930-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KARAN",
        "middle_name": "SANDIP",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Schnell, OT
• Morgan Elizabeth Scott, PA-C
• Scott H. Seipel, OD
• Self
• Jimmy Bill Servetas, D.O.
• Aarika Sheehan, PT, DPT
• Jaclyn Shlapack, LPCC
• Melanie J Shmois, MSSA
• Michael Shockey
• Marie A. Simon, DDS

• Physical Therapist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.