Individual provider Active NPI

Devangi Shah, PT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1306328612
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27083 Issued in MD
Practice address
1028 Rockville Pike
Rockville, MD 20852-1404
Phone
(301) 838-4445
Fax
(301) 838-1949
NPI assigned
Sep 4, 2018
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 27083 MD Primary

Addresses

Primary practice location

1028 Rockville Pike
Rockville, MD 20852-1404

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

13735 Connecticut Ave Spc 6
Silver Spring, MD 20906-2916
Phone (240) 283-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180924000735 DC Practitioner - Physical Therapist in Private Practice 8820349350 Reassigns benefits to 3 organizations
I20180924000870 MD Practitioner - Physical Therapist in Private Practice 8820349350 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

25 Main St
Suite a
Reisterstown, MD 21136-1248
Phone (410) 833-8300

5435 Beaverkill Rd
Columbia, MD 21044-2359
Phone (410) 740-0883

6151 Daylong LN
Clarksville, MD 21029-1639
Phone (410) 531-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27083MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 11, 2020 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 10, 2018 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 10, 2018 Accepting new patients
Ati Holdings, LLC Past Accepting new patients
Ati Holding LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1028 Rockville Pike
Rockville, MD 20852
Phone (301) 838-4445

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

13735 Connecticut Ave
Ste 6
Silver Spring, MD 20906
Phone (240) 283-9559

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1306328612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521404",
            "telephone_number": "301-838-4445",
            "fax_number": "301-838-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13735 Connecticut Ave Spc 6",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209062916",
            "country_code": "US",
            "telephone_number": "240-283-9559",
            "fax_number": "301-598-6739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEVANGI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.