Individual provider Active NPI

Vishakha Shah, PT

  • Physical Therapist
  • Evergreen Park, IL
National Provider Identifier
1497892632
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-008524 Issued in IL
Practice address
2959 W 95TH St
Evergreen Park, IL 60805-2409
Phone
(708) 923-1768
Fax
(773) 933-1690
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003696A IN
Physical Therapist 225100000X 070-008524 IL Primary

Addresses

Primary practice location

2959 W 95TH St
Evergreen Park, IL 60805-2409

Mailing address

2959 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 923-1768

Other practice location 1

8327 S South Chicago Ave
Chicago, IL 60617-1855
Phone (773) 933-1666

Other practice location 2

8220 Calumet Ave
Munster, IN 46321-1704
Phone (219) 836-5100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070-008524ILMDPhysical Therapist
05003696AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Rehabilitation Services, LTD. Current Accepting new patients

Locations

8327 S South Chicago Ave
Chicago, IL 60617
Phone (773) 933-1666

2959 W 95th St
Evergreen Pk, IL 60805
Phone (708) 923-1768

12021 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 361-4330

8220 Calumet Ave
Munster, IN 46321
Phone (219) 201-1852

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1497892632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052409",
            "telephone_number": "708-923-1768",
            "fax_number": "773-933-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052409",
            "telephone_number": "708-923-1768",
            "fax_number": "773-933-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8327 S South Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606171855",
            "country_code": "US",
            "telephone_number": "773-933-1666",
            "fax_number": "773-933-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8220 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211704",
            "country_code": "US",
            "telephone_number": "219-836-5100",
            "fax_number": "773-933-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VISHAKHA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003696A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.