Mansi Dilipkumar Shah, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019995 Issued in OH

Practice address

2103 Carolina Ave
Lima, OH 45805-1727

Phone

(909) 576-6714

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1477042174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CAROLINA AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051727",
            "telephone_number": "909-576-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CAROLINA AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051727",
            "telephone_number": "909-576-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANSI",
        "middle_name": "DILIPKUMAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019995",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Wellness Center LLC
• Thomas Aaron Severs, CRNA
• Michele Shaeffer, PHD
• Vivien C Shaffer, R.N., PHARM. D.
• Anuj M Shah, MD
• Mohammad Kamal Shah, MD
• Adel M Shaheen, MD
• Saboor Shahid, MD
• Evette Shaner, CNP
• Joel L Shanklin, MD

• Physical Therapist in Lima, OH
• Providers in Lima, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.