Kavita M Shah, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014699 Issued in MI

Practice address

6620 Highland Rd
Suite 103
Waterford, MI 48327-1682

Phone

(248) 666-6001

Fax

(248) 666-6009

NPI assigned

Dec 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Rehab IncGroup PAC ID 2163525163, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Rehab Inc

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1801954508
  Medicare reassignment Care Compare group NPD
• Specialist Rehab Services Inc.

  • Rehabilitation Clinic/Center
  • Waterford, MI
  • NPI 1548227895
  NPD
• Lynn Behavorial Services, P.C.

  • Clinic/Center
  • Waterford, MI
  • NPI 1710247853
  NPD (past)
• Spine and Aquatic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Livonia, MI
  • NPI 1346947116

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1699078451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD",
            "address_2": "SUITE 103",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271682",
            "telephone_number": "248-666-6001",
            "fax_number": "248-666-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD",
            "address_2": "SUITE 103",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271682",
            "telephone_number": "248-666-6001",
            "fax_number": "248-666-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAVITA",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Sewell
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• Janette Shallal, LMSW
• Rick J Shamoon, PHARMD
• Simon Shamoon, DDS
• Shamoun Dental PLLC

• Physical Therapist in Waterford, MI
• Providers in Waterford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.