Viral Ankil Kumar Shah, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014571 Issued in MI

Practice address

555 S Mission St
Mt Pleasant, MI 48858-2846

Phone

(989) 772-7755

Fax

(989) 772-7750

NPI assigned

Oct 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1407166184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582846",
            "telephone_number": "989-772-7755",
            "fax_number": "989-772-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582846",
            "telephone_number": "989-772-7755",
            "fax_number": "989-772-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAL",
        "middle_name": "ANKIL KUMAR",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MI",
            "identifier": "5501014571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jigar Chandrakant Shah, RPT
• Ketulkumar D Shah, RPT
• Kushant B Shah, RPT
• Palak Shah, RPT
• Vidath K Shah, RPT
• Zubair Alhmed Shaikh, M.D.
• Lakshmi Shankariah, MD
• Ryan Michael Shannon, PA
• Evan Ronald Shapiro, MD
• Ashlee Danielle Shearer, MA, LLPC

• All providers in Mt Pleasant, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.