Active NPI
Rutvik H Shah, RPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1497080998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1325192
- Practice address
- 9825 Ardrey Woods Dr
Charlotte, NC 28277-4168 - Phone
- (980) 474-6981
- NPI assigned
- Oct 16, 2009
- Last updated
- Mar 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1325192 | TX | Primary |
Addresses
Primary practice location
9825 Ardrey Woods Dr
Charlotte, NC 28277-4168
Mailing address
9825 Ardrey Woods Dr
Charlotte, NC 28277-4168
Phone (980) 474-6981
Other practice location 1
555 S Mission St
MT Pleasant, MI 48858-2846
Phone (989) 772-7755
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325192 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outcomes Wound Therapy PLLC | Past | Accepting new patients |
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, 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": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1497080998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 ARDREY WOODS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774168",
"telephone_number": "980-474-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 ARDREY WOODS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774168",
"telephone_number": "980-474-6981"
}
],
"practiceLocations": [
{
"address_1": "555 S Mission St",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "MI",
"postal_code": "488582846",
"country_code": "US",
"telephone_number": "989-772-7755",
"fax_number": "989-772-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "RUTVIK",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1325192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.