Individual provider Active NPI

Niravkumar Shah, PT, DPT

  • Physical Therapist
  • N Charleston, SC
National Provider Identifier
1629389887
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12600 Issued in SC
Practice address
6650 Rivers Ave Ste 100
N Charleston, SC 29406-4809
Phone
(803) 220-5785
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21133 NC
Physical Therapist 225100000X 12600 SC Primary

Addresses

Primary practice location

6650 Rivers Ave Ste 100
N Charleston, SC 29406-4809

Mailing address

6650 Rivers Ave Ste 100
N Charleston, SC 29406-4809

Other practice location 1

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (803) 220-5785

Other names 1

  • Nirav Shah Other name

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

LicenseStateTypeSpecialty
P21133NCMDPhysical Therapist
12600SCMDPhysical Therapist
031601NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resume Mobility Physical Therapy, LLC Physical Therapist Current Accepting new patients
Lafayette Medical Office, PC Physical Therapist Past Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1629389887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 100",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 100",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064809",
            "telephone_number": "803-220-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Wake Forest Rd Ste 349",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276090010",
            "country_code": "US",
            "telephone_number": "803-220-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAVKUMAR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21133",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIRAV",
            "last_name": "SHAH",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.