Mrugesha Shah, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021171 Issued in IL

Practice address

2028 W Oakton St
Park Ridge
Park Ridge, IL 60068-1958

Phone

(847) 692-6964

NPI assigned

Jan 8, 2015

Sex

Female

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy PCGroup PAC ID 0446214845, 12 clinicians

Chicago Health and Physical Therapy Center SCGroup PAC ID 3870596455, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chicago Health and Physical Therapy Center SC

  • Clinic/Center
  • Chicago, IL
  • NPI 1861421950
  Medicare reassignment Care Compare group
• Premier Physical Therapy PC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1336127117
  Medicare reassignment Care Compare group
• Dynamic Health & Wellness, LTD.

  • Physical Medicine & Rehabilitation Physician
  • Crystal Lake, IL
  • NPI 1942448451
  NPD (past)

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1609264993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 VILLAGE CENTER DR",
            "address_2": "STE 205",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274526",
            "telephone_number": "815-876-7063",
            "fax_number": "630-920-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W OAKTON ST",
            "address_2": "PARK RIDGE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681958",
            "telephone_number": "847-692-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MRUGESHA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Shah, DO
• Bhaven Shah, MD
• Hemant B Shah, M.D.
• Hirali Shah, DO
• Manoj Shah, MD
• Neelay Shah
• Nishant Shah, MD
• Parshva Shah, MD
• Pooja Shah
• Nikki Shahbazi, MD

• Physical Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.