Individual provider Active NPI

Resha P Shah

  • Physical Therapist
  • Anna, TX
National Provider Identifier
1720709876
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1367164 Issued in TX
Practice address
450 N Standridge Blvd Ste 103
Anna, TX 75409-3443
Phone
(214) 432-7733
Fax
(214) 736-1442
NPI assigned
Sep 7, 2022
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 1367164 TX Primary

Addresses

Primary practice location

450 N Standridge Blvd Ste 103
Anna, TX 75409-3443

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

6200 Preston Rd Ste 100
Plano, TX 75024-2616
Phone (469) 850-0120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821000535 TX Practitioner - Physical Therapist in Private Practice 1355889353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

104 E US Hwy 80 180
Peak PT Forney
Forney, TX 75126-8615
Phone (972) 564-3390

2810 W 1St St
Suite 40
Prosper, TX 75078-8151
Phone (972) 400-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

450 N Standridge Blvd
Ste 103
Anna, TX 75409
Phone (214) 432-7733

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

8350 Dallas Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 362-8433

2810 W 1st St
Ste 40
Prosper, TX 75078
Phone (972) 400-1771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1720709876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N STANDRIDGE BLVD STE 103",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754093443",
            "telephone_number": "214-432-7733",
            "fax_number": "214-736-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Preston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242616",
            "country_code": "US",
            "telephone_number": "469-850-0120",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RESHA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.