Active NPI
Nirav Anilkumar Shah, PT
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012206
- Practice address
- 6001 Oakbend St Apt 8104
Orlando, FL 32835-2808 - Phone
- (248) 982-8088
- Fax
- (407) 362-1940
- NPI assigned
- May 20, 2008
- Last updated
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | PT 29973 | FL | |
| Physical Therapist | 225100000X | 5501012206 | MI | Primary |
Addresses
Primary practice location
6001 Oakbend St Apt 8104
Orlando, FL 32835-2808
Mailing address
6001 Oakbend St Apt 8104
Orlando, FL 32835-2808
Phone (248) 982-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6735 Conroy Windermere Rd
Suite 223
Orlando, FL 32835-3570
Phone (248) 982-8088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012206 | MI | MD | Physical Therapist |
| PT 29973 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Physical Therapy & Wellness Center LLC | Physical Therapist | Current | Accepting new patients |
| Mission Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| New Life Physical Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
6735 Conroy Rd
Ste 223
Orlando, FL 32835
Phone (407) 203-2377
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1336680222
Physical Therapist
-
- Physical Therapist
- Center Line, MI
- NPI 1609152339
-
dba NuStep Physical Therapy
- Physical Therapy Clinic/Center
- Mt Pleasant, MI
- NPI 1578572608
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1417114281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 OAKBEND ST APT 8104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352808",
"telephone_number": "248-982-8088",
"fax_number": "407-362-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 OAKBEND ST APT 8104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352808",
"telephone_number": "248-982-8088",
"fax_number": "407-362-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIRAV",
"middle_name": "ANILKUMAR",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT 29973",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.