Active NPI
Resha P Shah
- Physical Therapist
- Anna, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1367164
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Prosper, TX
- NPI 1700271913
-
- Physical Therapist
- Van Alstyne, TX
- NPI 1104211317
-
- Physical Therapist
- Anna, TX
- NPI 1932884475
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.