Jesal Nishit Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27909 Issued in MD

Practice address

1515 Merritt Blvd
Dundalk, MD 21222-2113

Phone

(410) 285-0920

NPI assigned

May 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Specialists IncGroup PAC ID 6507764891, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Specialists Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1659300507
  Medicare reassignment Care Compare group NPD
• Sage Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  Physical Therapist

  NPD
• Abilities Abound Physical Therapy and Wellness Center PLLC

  • Physical Therapy Clinic/Center
  • Callao, VA
  • NPI 1063833218

  Physical Therapist

  NPD
• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)
• Maryland Spine Rehab, LLC

  • Chiropractor
  • Dundalk, MD
  • NPI 1629251830
  NPD (past)
• Get Balanced 4 Life

  • Rehabilitation Clinic/Center
  • Callao, VA
  • NPI 1326499062
  NPD (past)
• W. Seth Bolling, MD, Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1366688756
  NPD (past)

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295359891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419666",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419666",
            "telephone_number": "410-970-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222113",
            "telephone_number": "410-285-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 Crain Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034847",
            "country_code": "US",
            "telephone_number": "301-885-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Northumberland Hwy",
            "address_purpose": "LOCATION",
            "city": "Callao",
            "state": "VA",
            "postal_code": "224352206",
            "country_code": "US",
            "telephone_number": "804-529-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Charles St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015307",
            "country_code": "US",
            "telephone_number": "410-837-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JESAL NISHIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshah@aaptwc.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jshah@aaptwc.com",
            "address_1": "765 Northumberland Hwy",
            "city": "Callao",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224352206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Wayne Schlegel, PTA
• Rosemary Schorm, PTA
• Timothy Allen Scranton, OD
• Second Chance II LLC
• Heather Sellman, PHARMD
• Fawad Mahmood Shaikh, RPH
• Shelley Sheeler, LCSW-C
• Robin Kathleen Sheppard, LPTA
• Shirleys Caring Heart Corp
• Sabrina Shockley

• Physical Therapist in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.