Individual provider Active NPI

Stuti Shah

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1699558544
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304644 Issued in CA
Practice address
521 E Elder St Ste 106
Fallbrook, CA 92028-3082
Phone
(760) 723-8337
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 304644 CA Primary

Addresses

Primary practice location

521 E Elder St Ste 106
Fallbrook, CA 92028-3082

Mailing address

521 E Elder St Ste 106
Fallbrook, CA 92028-3082
Phone (760) 723-8337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003223 CA Practitioner - Physical Therapist in Private Practice 4688038011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12865 Pointe del Mar Way
Suite 200
Del Mar, CA 92014-3860
Phone 85853510751144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Feb 17, 2024 Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Feb 17, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 200
Del Mar, CA 92014
Phone (858) 535-1075

521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337

9850 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 535-1075

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1699558544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 106",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283082",
            "telephone_number": "760-723-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 106",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283082",
            "telephone_number": "760-723-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "STUTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.