Individual provider Active NPI

Pratibha Jitendra Shah, PT

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1649489584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00160200 Issued in NJ
Practice address
46 Cornwallis CT
Manalapan, NJ 07726-7917
Phone
(914) 552-6001
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00160200 NJ Primary

Addresses

Primary practice location

46 Cornwallis CT
Manalapan, NJ 07726-7917

Mailing address

46 Cornwallis CT
Manalapan, NJ 07726-7917
Phone (914) 552-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000414 NJ Practitioner - Physical Therapist in Private Practice 2567529423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

167 US
Suite 9
Morganville, NJ 07751
Phone (732) 334-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 6, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 6, 2024 Accepting new patients
Helping Hands Rehabilitation LLC CurrentSince Nov 24, 2014 Accepting new patients
First Choice Rehabilitation and Consulting Services ,LLC CurrentSince Dec 25, 2017 Accepting new patients
Garden State Spine and Pain Institute LLC Physical Therapist PastSince Jan 2, 2023 Accepting new patients

Locations

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

98 Craig Rd
Manalapan, NJ 07726
Phone (732) 414-6413

272A Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-9333

Organizations & group practices 6

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649489584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CORNWALLIS CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267917",
            "telephone_number": "914-552-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CORNWALLIS CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267917",
            "telephone_number": "914-552-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRATIBHA",
        "middle_name": "JITENDRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00160200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.