Active NPI
Dhruv Shah
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP036681T
- Practice address
- 9494 W Northern Ave Ste 114&115
Glendale, AZ 85305-1118 - Phone
- (623) 745-3112
- NPI assigned
- Feb 7, 2024
- Last updated
- Nov 8, 2024
- Sex
- Male
- 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 Therapist | 225100000X | IN | ||
| Physical Therapist | 225100000X | CP036681T | AZ | Primary |
Addresses
Primary practice location
9494 W Northern Ave Ste 114&115
Glendale, AZ 85305-1118
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
71 Silhavy Rd Ste 121
Valparaiso, IN 46383-4491
Phone (219) 462-0576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9494 W Northern Ave
Suite 114
Glendale, AZ 85305-1119
Phone (623) 745-3112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP036681T | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112
9494 W Northern Ave
Ste 114115
Glendale, AZ 85305
Phone (623) 745-3112
9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782
7443 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8100
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
506 E Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299
5178 Franklin St
Michigan City, IN 46360
Phone (219) 879-2523
6459 US Highway 6
Portage, IN 46368
Phone (219) 762-5592
71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576
Organizations & group practices 7
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
dba ATI Physical Therapy
- Physical Therapist
- Hammond, IN
- NPI 1023313194
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
dba ATI Physical Therapy
- Physical Therapist
- Hammond, IN
- NPI 1871887398
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1437913894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9494 W NORTHERN AVE STE 114&115",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853051118",
"telephone_number": "623-745-3112"
}
],
"practiceLocations": [
{
"address_1": "71 Silhavy Rd Ste 121",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463834491",
"country_code": "US",
"telephone_number": "219-462-0576",
"fax_number": "219-462-0216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "DHRUV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP036681T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.