Active NPI
Preksha Shah
- Physical Therapist
- Cedar Rapids, IA
National Provider Identifier
1255780896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 078638
- Practice address
- 1220 5TH Ave SE
Cedar Rapids, IA 52403-4049 - Phone
- (510) 565-4693
- NPI assigned
- Jun 5, 2016
- Sex
- Female
- 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 | 078638 | IA | Primary |
Addresses
Primary practice location
1220 5TH Ave SE
Cedar Rapids, IA 52403-4049
Mailing address
1641 Pinehurst Dr NE
Apt 21C
Cedar Rapids, IA 52402-5863
Phone (510) 565-4693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078638 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465084800000",
"number": "1255780896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 PINEHURST DR NE",
"address_2": "APT 21C",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025863",
"telephone_number": "510-565-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 5TH AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524034049",
"telephone_number": "510-565-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PREKSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-05",
"last_updated": "2016-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "078638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.