Jenika Shah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301511 Issued in CA

Practice address

1230 E Windsor Rd
Glendale, CA 91205-2656

Phone

(747) 800-4941

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interface Rehab, Inc.Group PAC ID 6204736556, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Interface Rehab, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Placentia, CA
  • NPI 1306960851
  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  Medicare reassignment NPD
• Interface Rehab, Inc.

  • Assisted Living Facility
  • Healdsburg, CA
  • NPI 1053178244
  NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1619449865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E WINDSOR RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052656",
            "telephone_number": "747-800-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JENIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301511",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013205A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Shafrazian, R.D.
• Ara Shafrazian
• Kristina Shagramanova
• Natalya Shagramanova
• Anup Shah, MD
• Shivani Shah, M.D.
• Shahangian Dental Group, Inc
• Idean Shahangian
• Pushpa Hiro Shahani, M.D.
• Teodick Shahbandari, DO

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

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