Preyas Shashankkumar Mehta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01711800 Issued in NJ

Practice address

5980 W 71St St Ste 102
Indianapolis, IN 46278-1785

Phone

(317) 388-0800

Fax

(317) 388-0805

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy and Fitness Center IncGroup PAC ID 1456504331, 14 clinicians

Innovative Physical Therapy CenterGroup PAC ID 4183140874, 4 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 and National Provider Directory roles.

• Innovative Physical Therapy and Fitness Center Inc

  • Physical Therapy Clinic/Center
  • Kendall Park, NJ
  • NPI 1740548742

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy Center

  dba Innovative Physical Therapy and Fitness Center

  • Physical Therapist
  • Monroe, NJ
  • NPI 1497562961
  Medicare reassignment Care Compare group
• Innovative Physical Therapy and Fitness Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
  • NPI 1184205072

  Physical Therapist

  NPD
• Access Therapies,Inc

  • Environmental Modification Occupational Therapist
  • Indianapolis, IN
  • NPI 1780013607
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1477827053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PREYAS",
        "middle_name": "SHASHANKKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "033784-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01711800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1270407",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Sachdev Mehta
• Crystal Shirish Mehta, D.O.
• Jessel Mehta
• Kapil A Mehta, MD
• Nishi Mehta, M.D.
• Rakesh P Mehta, MD
• Risha Mehta
• Sachin Ashok Mehta, M.D.
• Varun Rajeev Mehta
• Jessica Meichtry

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.