Agile Physical Therapy & Wellness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

29973 Issued in FL

Legal business name

AGILE PHYSICAL THERAPY & WELLNESS CENTER LLC

Practice address

6735 Conroy Windermere Rd,
Suite 223
Orlando, FL 32835

Phone

(248) 982-8088

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nirav Anilkumar Shah, PT, DPTNPI 1417114281

Title

Physical Therapist

Phone

(248) 982-8088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Nirav Anilkumar Shah, PT

  • Physical Therapist
  • Orlando, FL
  • NPI 1417114281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1336680222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 CONROY WINDERMERE RD,",
            "address_2": "SUITE 223",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "248-982-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 CONROY WINDERMERE RD,",
            "address_2": "SUITE 223",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "248-982-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE PHYSICAL THERAPY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "ANILKUMAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-982-8088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "29973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Aggarwal, MD
• Avanish M Aggarwal, MD
• Barbara G Aggarwal, MD
• Meera Aggarwal, BCBA
• Saurabh Aggarwal, MD
• Aging Gracefully Residence Care, LLC
• Markus Angelo Doria Agito, M.D.
• Kamaldeen Agoro, M.D
• Johna Agostinelli, LCSW
• Diana Agosto

• Physical Therapy Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.