Individual provider Active NPI

Rima Shah

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1780019349
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036631 Issued in NY
Practice address
405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470
Phone
(425) 392-6804
NPI assigned
Sep 13, 2013
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036631 NY Primary
Geriatric Physical Therapist 2251G0304X 036631 NY

Addresses

Primary practice location

405 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2470

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

501 5th Ave Rm 1204
New York, NY 10017-7873
Phone (646) 998-8128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110002582 WA Practitioner - Physical Therapist in Private Practice 8022239177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470
Phone (425) 392-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036631NYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients
Epic PT Health & Performance LLC Physical Therapist CurrentSince Aug 15, 2016 Accepting new patients
Mac Anesthesia, PC CurrentSince Sep 1, 2014 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1815 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 479-3900

11208 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 479-3900

13353 NE Bel Red Rd
Ste 103
Bellevue, WA 98005
Phone (425) 679-5996

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

18100 NE Union Hill Rd
Ste 310
Redmond, WA 98052
Phone (425) 285-5617

5006 Center St
Ste N
Tacoma, WA 98409
Phone (253) 476-0449

Organizations & group practices 4

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1780019349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 5th Ave Rm 1204",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100177873",
            "country_code": "US",
            "telephone_number": "646-998-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036631",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "036631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.