Individual provider Active NPI

Beren Mahesh Shah, D.P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1447664321
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2963 Issued in NV
Practice address
7808 Hidden Gazebo St
Las Vegas, NV 89131-8251
Phone
(714) 366-2777
Fax
(714) 366-2777
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2963 NV Primary

Addresses

Primary practice location

7808 Hidden Gazebo St
Las Vegas, NV 89131-8251

Mailing address

6440 Sky Pointe Dr Ste 140-463
Las Vegas, NV 89131-4047
Phone (714) 366-2777

Other practice location 1

2650 N Tenaya Way
Suite 180
Las Vegas, NV 89128-1102
Phone (702) 240-2952

Other practice location 2

2650 N Tenaya Way
Suite 180
Las Vegas, NV 89128-1102
Phone (702) 240-2952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2963NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Therapy Services, LLC Physical Therapist CurrentSince Dec 15, 2019 Accepting new patients

Locations

6440 Sky Pointe Dr
Ste 140463
Las Vegas, NV 89131

Organizations & group practices 1

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1447664321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR STE 140-463",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "714-366-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 HIDDEN GAZEBO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318251",
            "telephone_number": "714-366-2777",
            "fax_number": "714-366-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 N Tenaya Way",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281102",
            "country_code": "US",
            "telephone_number": "702-240-2952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 N Tenaya Way",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281102",
            "country_code": "US",
            "telephone_number": "702-240-2952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BEREN",
        "middle_name": "MAHESH",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.