Jaimin Shah, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020429 Issued in IL

Practice address

7000 N McCormick Blvd
Lincolnwood, IL 60712-2726

Phone

(224) 534-6639

NPI assigned

Apr 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jaiman Shah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1649768367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 W OAKS AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164252",
            "telephone_number": "224-392-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N MCCORMICK BLVD",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122726",
            "telephone_number": "224-534-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAIMIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMAN",
            "last_name": "SHAH",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sentinel Medical Laboratories
• Eonjung Seo
• Carrie Shacter, MS CCC-SLP
• Denise M Shaeffer, PH.D.
• Ami Steve Shah, PT
• Purvi Shah, M.D.
• Kara Maureen Shahrava, FNP-BC
• Shahriar Dadkhah MD SC
• Shahriar Dadkhah, MD, SC
• Rahil Ismail Shaikh, M.D.

• Physical Therapist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.