Active NPI
Dipesh A Shah, P.T.
- Physical Therapist
- Mobile, AL
National Provider Identifier
1679580021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008401A
- Practice address
- 6700 Wall St
Apt # 7G
Mobile, AL 36695-4508 - Phone
- (251) 219-4484
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008401A | IN | Primary |
Addresses
Primary practice location
6700 Wall St
Apt # 7G
Mobile, AL 36695-4508
Mailing address
6700 Wall St
Apt # 7G
Mobile, AL 36695-4508
Phone (251) 219-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05008401A | Other | IN | INDIANA PHYSICAL THERAPY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008401A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapy Solutions, LLC | Past | Accepting new patients | |
| Unilab Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- Oak Park, IL
- NPI 1912000308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679580021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WALL ST",
"address_2": "APT # 7G",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954508",
"telephone_number": "251-219-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 WALL ST",
"address_2": "APT # 7G",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954508",
"telephone_number": "251-219-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DIPESH",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008401A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PHYSICAL THERAPY",
"identifier": "05008401A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.