Pinal V Shah, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007569 Issued in IL

Practice address

136 Bisterfield Road
Alexian Brothers Occupational Health
Elk Grove Village, IL 60007

Phone

(847) 981-5910

Fax

(847) 956-5420

NPI assigned

Aug 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1609032994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BISTERFIELD ROAD",
            "address_2": "ALEXIAN BROTHERS OCCUPATIONAL HEALTH PHYSICAL THERAPY",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-981-5910",
            "fax_number": "847-956-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BISTERFIELD ROAD",
            "address_2": "ALEXIAN BROTHERS OCCUPATIONAL HEALTH",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-981-5910",
            "fax_number": "847-956-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PINAL",
        "middle_name": "V",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Young Seo, APRN
• Staci Lynn Serafini, FNP
• Rolando Serna, MSW
• Ronald J Shade, M.D.
• Kalpesh V Shah, PTA
• Imran Nisar Shaikh, MD
• Jessica Helen Shaker, MD
• Dorothy Shapiro, APN, CNP
• Rachel Sharp
• David S Shaw, DO

• Physical Therapist in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.