Individual provider Active NPI

Kavita Shah, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Old Bridge, NJ
National Provider Identifier
1801767751
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
46TR01253500 Issued in NJ
Practice address
14 Woodward Dr Ste B
Old Bridge, NJ 08857-3374
Phone
(732) 460-1100
Fax
(732) 460-1170
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR01253500 NJ Primary

Addresses

Primary practice location

14 Woodward Dr Ste B
Old Bridge, NJ 08857-3374

Mailing address

14 Woodward Dr Ste B
Old Bridge, NJ 08857-3374
Phone (732) 360-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000816 NJ Practitioner - Occupational Therapist in Private Practice 4385140177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Ajay Consulting CorporationGroup PAC ID 3476550583, 6 clinicians

Practice addresses (Care Compare)

14 Woodward Dr
Suite B
Old Bridge, NJ 08857-3746
Phone (732) 360-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Consulting Corporation CurrentSince Sep 1, 2025 Accepting new patients
Imaginginterventions, LLC PastSince Sep 1, 2025 Accepting new patients

Locations

14 Woodward Dr
Ste B
Old Bridge, NJ 08857
Phone (732) 360-1100

Organizations & group practices 2

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1801767751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR STE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573374",
            "telephone_number": "732-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR STE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573374",
            "telephone_number": "732-460-1100",
            "fax_number": "732-460-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAVITA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR01253500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.