Active NPI
Kushant B Shah, RPT
- Physical Therapist
- Mt Pleasant, MI
National Provider Identifier
1285969741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012769
- Practice address
- 555 S Mission St
Mt Pleasant, MI 48858-2846 - Phone
- (989) 772-7755
- Fax
- (989) 772-7750
- NPI assigned
- Oct 16, 2009
- 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 | 5501012769 | MI | Primary |
Addresses
Primary practice location
555 S Mission St
Mt Pleasant, MI 48858-2846
Mailing address
555 S Mission St
Mt Pleasant, MI 48858-2846
Phone (989) 772-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501012769 | Other | MI | STATE OF MICHIGAN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1285969741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S MISSION ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582846",
"telephone_number": "989-772-7755",
"fax_number": "989-772-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S MISSION ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582846",
"telephone_number": "989-772-7755",
"fax_number": "989-772-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KUSHANT",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "5501012769",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.