Mansi Kunal Shah, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016831 Issued in IL

Practice address

10 Executive Court
Suite 5 Crescent Rehab Center
South Barrington, IL 60010

Phone

(847) 370-7861

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mansi Vikramkumar Trivedi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crescent Rehab Center, PC

  • Occupational Therapist
  • South Barrington, IL
  • NPI 1568476893

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1356675102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE COURT",
            "address_2": "SUITE 5 CRESCENT REHAB CENTER",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-370-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE COURT",
            "address_2": "SUITE 5 CRESCENT REHAB CENTER",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-370-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANSI",
        "middle_name": "KUNAL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANSI",
            "last_name": "TRIVEDI",
            "middle_name": "VIKRAMKUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pawn Scarpelli, CHILD DEVELOPMENT SP
• Scharrington Family Dental Care
• Scheck & Siress Prosthetics, Inc (Hanger Clinic IV)
• Elizabeth A Schupp, MD, FCCP
• Jyoti Shah, M.D.
• Rachit Shah, RPH
• Margaret Maria Sierantowicz, MD
• Howard Singer, MD
• Chase Small, DMD
• Pamela Charnalia Sobti, MD

• Physical Therapist in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.