Individual provider Active NPI

Rucha Shah

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1265974075
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16068 Issued in NC
Practice address
3420 Holloway St
Durham, NC 27703-3522
Phone
(919) 596-9464
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16068 NC Primary

Addresses

Primary practice location

3420 Holloway St
Durham, NC 27703-3522

Mailing address

6206 Grace Park Dr
Morrisville, NC 27560-7380
Phone (908) 300-4913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322001900 NC Practitioner - Physical Therapist in Private Practice 1759666365 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Apr 10, 2025 Accepting new patients
Life Clinic of NC PC Physical Therapist PastSince Nov 4, 2024 Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

1301 Morrisville Pkwy
Morrisville, NC 27560
Phone (919) 650-4633

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1265974075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607380",
            "telephone_number": "908-300-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 HOLLOWAY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033522",
            "telephone_number": "919-596-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.