Individual provider Active NPI

Rutvik H Shah, RPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1497080998
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1325192 Issued in TX
Practice address
9825 Ardrey Woods Dr
Charlotte, NC 28277-4168
Phone
(980) 474-6981
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 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

Practice roles

OrganizationSpecialtyStatusNew patients
Outcomes Wound Therapy PLLC PastSince Mar 30, 2025 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.