Active NPI
Bhavi Bharat Shah, PT
- Physical Therapist
- South Jordan, UT
National Provider Identifier
1598433658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11048405-2401
- Practice address
- 10569 S River Heights Dr
South Jordan, UT 84095-5925 - Phone
- (385) 351-5619
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- 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 | 11048405-2401 | UT | Primary |
Addresses
Primary practice location
10569 S River Heights Dr
South Jordan, UT 84095-5925
Mailing address
10974 S Eureka Dune Dr
South Jordan, UT 84009-4173
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1598433658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10974 S EUREKA DUNE DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840094173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10569 S RIVER HEIGHTS DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955925",
"telephone_number": "385-351-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "BHAVI BHARAT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11048405-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.