Individual provider Active NPI

Smruti Patel Shah, DPT

  • Physical Therapist
  • Carrboro, NC
National Provider Identifier
1568612786
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11685 Issued in NC
Practice address
304 W Weaver St Unit 103
Carrboro, NC 27510-2079
Phone
(984) 206-2200
Fax
(984) 206-2201
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 11685 NC Primary

Addresses

Primary practice location

304 W Weaver St Unit 103
Carrboro, NC 27510-2079

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379

Other names 1

  • Smruti Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000193 NC Practitioner - Physical Therapist in Private Practice 3577712314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

981 High House Rd
Suite 100
Cary, NC 27513-3510
Phone (919) 388-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11685NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proaxis Therapy NC, LLC Physical Therapist CurrentSince Sep 1, 2013 Accepting new patients
Elite PT Current Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Proaxis Therapy SC, LLC Physical Therapist Past Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

33202 Collection Ctr Dr
Chicago, IL 60693

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

303 Park St
Belmont, NC 28012
Phone (704) 826-9980

304 W Weaver St
Unit 103
Carrboro, NC 27510
Phone (919) 942-0240

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

205 Sage Rd
Ste 203
Chapel Hill, NC 27514
Phone (919) 918-4171

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

959 East St
Pittsboro, NC 27312
Phone (919) 918-4171

Organizations & group practices 5

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1568612786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WEAVER ST UNIT 103",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102079",
            "telephone_number": "984-206-2200",
            "fax_number": "984-206-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SMRUTI",
        "middle_name": "PATEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SMRUTI",
            "last_name": "PATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.