Active NPI
Chetna H Shah, PT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1750488482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4039
- Practice address
- 13760 N 93Rd Ave
Ste 107
Peoria, AZ 85381-4201 - Phone
- (623) 876-3952
- Fax
- (623) 876-3975
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4039 | AZ | Primary |
Addresses
Primary practice location
13760 N 93Rd Ave
Ste 107
Peoria, AZ 85381-4201
Mailing address
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4039 | AZ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1750488482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13640 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814846",
"telephone_number": "623-876-3800",
"fax_number": "623-876-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13760 N 93RD AVE",
"address_2": "STE 107",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814201",
"telephone_number": "623-876-3952",
"fax_number": "623-876-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "CHETNA",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "4039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.