Jinal Deepak Shah, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216347 Issued in VA

Practice address

3263 Proffit Rd Ste 203
Charlottesville, VA 22911-5639

Phone

(434) 220-0021

Fax

(434) 465-6843

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1205809506
  Medicare reassignment Care Compare group NPD
• Physical Therapy at Acac

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977
  NPD
• Theramatrix, Inc.

  • Clinic/Center
  • Sterling Heights, MI
  • NPI 1124276662
  NPD (past)
• Theramatrix, Inc.

  • Clinic/Center
  • Dearborn, MI
  • NPI 1538317235
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1720360282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 PROFFIT RD STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115639",
            "telephone_number": "434-220-0021",
            "fax_number": "434-465-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6041 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483124501",
            "country_code": "US",
            "telephone_number": "586-264-4343",
            "fax_number": "586-264-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JINAL",
        "middle_name": "DEEPAK",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015185",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine C. Shaffrey
• Aakash Shah, MD
• Ajay Kumar Shah, MD
• Anuj Shah, MD
• Binit B. Shah, M.D.
• Megan Shah, PHARMD
• Neeral L Shah, M.D.
• Amit Ashok Shahane, PH.D.
• Sajid Hameed Shaikh
• Vanessa M. Shami

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.