Individual provider Active NPI

Dhruv Shah

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1437913894
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036681T Issued in AZ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240217000122 IN Practitioner - Physical Therapist in Private Practice 1153765128 Reassigns benefits to 2 organizations
I20250107003647 AZ Practitioner - Physical Therapist in Private Practice 1153765128 Reassigns benefits to 1 organization

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
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

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

LicenseStateTypeSpecialty
CP036681TAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 4, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Feb 22, 2025 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Mar 4, 2024 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.

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.

Verify at the official NPI Registry.