Dhara P Shah, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005867 Issued in KY

Practice address

101 Forbes Dr
Hopkinsville, KY 42240-7200

Phone

(270) 889-9996

Fax

(270) 889-9993

NPI assigned

Nov 21, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Edgewood, KY
  • NPI 1568000727
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Pennyrile Physical Therapy

  • Physical Therapist
  • Hopkinsville, KY
  • NPI 1861734840
  NPD (past)
• Elite Medical Group of Clarksville PLLC

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1861364887
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1467527275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FORBES DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422407200",
            "telephone_number": "270-889-9996",
            "fax_number": "270-889-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORBES DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422407200",
            "telephone_number": "270-889-9996",
            "fax_number": "270-889-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHARA",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Daniel Seffens
• Leesa L Segler, CRNA
• Janice Carolyn Self, LCSW
• Patrick Shafer, O.D.
• Paula Shaffer
• Ketki P Shah, PT
• Pankajkumar C Shah, M.D.
• Parth H Shah, MD
• Prakash Shah, MD
• Dustin Shaw, PHARMD

• Physical Therapist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.