Individual provider Active NPI

Avisha Shah Sheth, P.T

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1700125192
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209977 Issued in VA
Practice address
3 Washington Cir NW Ste 110
Washington, DC 20037-2357
Phone
(202) 659-7625
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 2305209977 VA Primary

Addresses

Primary practice location

3 Washington Cir NW Ste 110
Washington, DC 20037-2357

Mailing address

5252 Lyngate CT Ste 203
Burke, VA 22015-1673
Phone (703) 239-2300

Other names 1

  • Avisha Rajiv Shah Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305209977VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients
Hand Therapy Experts, LLC Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1700125192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151673",
            "telephone_number": "703-239-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW STE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372357",
            "telephone_number": "202-659-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "AVISHA",
        "middle_name": "SHAH",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVISHA",
            "last_name": "SHAH",
            "middle_name": "RAJIV",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.