Active NPI
Pinkesh Shah, PT
- Physical Therapist
- Roxbury Crossing, MA
National Provider Identifier
1588899272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18530
- Practice address
- 5B Cornelia CT
Roxbury Crossing, MA 02120-2542 - Phone
- (617) 816-3497
- NPI assigned
- May 25, 2009
- 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 | 18530 | MA | Primary |
Addresses
Primary practice location
5B Cornelia CT
Roxbury Crossing, MA 02120-2542
Mailing address
5B Cornelia CT
Roxbury Crossing, MA 02120-2542
Phone (617) 816-3497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161216796 | Other | MA | TAX ID |
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 |
|---|---|---|---|
| 18530 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243209600000",
"number": "1588899272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5B CORNELIA CT",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202542",
"telephone_number": "617-816-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5B CORNELIA CT",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202542",
"telephone_number": "617-816-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PINKESH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-25",
"last_updated": "2009-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "161216796",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.