Individual provider Active NPI

Jaldhiben Shahiwala

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1790341337
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1305790 Issued in TX
Practice address
6225 N State Highway 161 Ste 350
Irving, TX 75038-2256
Phone
(817) 916-2101
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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 1305790 TX Primary

Addresses

Primary practice location

6225 N State Highway 161 Ste 350
Irving, TX 75038-2256

Mailing address

928 Glen Lake Dr
Southlake, TX 76092-1526
Phone (909) 728-3670

Other names 1

  • Jaldhiben Shahiwale Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1305790TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Therapy Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1790341337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 GLEN LAKE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921526",
            "telephone_number": "909-728-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 N STATE HIGHWAY 161 STE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382256",
            "telephone_number": "817-916-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIWALA",
        "first_name": "JALDHIBEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1305790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALDHIBEN",
            "last_name": "SHAHIWALE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.