Organization Active NPI

Triangle Physical Therapy, Inc.

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1306986658
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8487 Issued in NC
Legal business name
TRIANGLE PHYSICAL THERAPY, INC.
Practice address
519 Keisler Dr Ste 204
Cary, NC 27518-7098
Phone
(919) 851-1164
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Sanjay Shah, DPTNPI 1851450886
Title
President
Phone
(919) 851-1164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8487 NC Primary

Addresses

Primary practice location

519 Keisler Dr Ste 204
Cary, NC 27518-7098

Mailing address

112 Annandale Dr
Cary, NC 27511-6502
Phone (919) 851-1164

Other identifiers 2

IdentifierTypeStateIssuer
013N1OtherNCBCBS PROVIDER NUMBER
7211309MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000522 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567429731 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

519 Keisler Dr
Ste 204
Cary, NC 27518
Phone (919) 851-1164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1306986658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ANNANDALE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116502",
            "telephone_number": "919-851-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187098",
            "telephone_number": "919-851-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-851-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "013N1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.