Active NPI
Parita Shah
- Physical Therapist
- Copperas Cove, TX
National Provider Identifier
1386125284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300395
- Practice address
- 810 Industrial Ave
Copperas Cove, TX 76522-1722 - Phone
- (254) 547-9552
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1280312 | TX | |
| Physical Therapist | 225100000X | 300395 | CA | Primary |
Addresses
Primary practice location
810 Industrial Ave
Copperas Cove, TX 76522-1722
Mailing address
600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Saratoga, CA 95070
Phone (408) 741-7122
14500 Fruitvale Ave
BLDG 2000
Saratoga, CA 95070-6165
Phone (408) 741-7122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1280312 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1386125284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N PEARL ST STE 1050",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 INDUSTRIAL AVE",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765221722",
"telephone_number": "254-547-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PARITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1280312",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.