Individual provider Active NPI

Ishita M Doshi, PT

  • Physical Therapist
  • Framingham, MA
National Provider Identifier
1659714715
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22283 Issued in MA
Practice address
1661 Worcester Rd Ste 105
Framingham, MA 01701
Phone
(508) 626-2600
Fax
(508) 626-7667
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 24387 MD
Physical Therapist 225100000X 22283 MA Primary

Addresses

Primary practice location

1661 Worcester Rd Ste 105
Framingham, MA 01701

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
8825 - 0021OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130814000371 DC Practitioner - Physical Therapist in Private Practice 5395987747 Reassigns benefits to 1 organization
I20180725000115 MA Practitioner - Physical Therapist in Private Practice 5395987747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greendale Physical Therapy LLCGroup PAC ID 9133013691, 36 clinicians

Practice addresses (Care Compare)

280 Boston Tpke
Shrewsbury, MA 01545-2640
Phone (508) 753-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22283MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Greendale Physical Therapy, LLC Physical Therapist CurrentSince Dec 23, 2020 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Orthology Mid-Atlantic Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

280 Boston Tpke
Shrewsbury, MA 01545
Phone (508) 753-7780

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 5

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1659714715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 WORCESTER RD STE 105",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01701",
            "telephone_number": "508-626-2600",
            "fax_number": "508-626-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "ISHITA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24387",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "8825 - 0021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.