Individual provider Active NPI

Pina Shah Mehta, D.P.T.

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1831316074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010326 Issued in WA
Practice address
13118 121St Way NE
Suite 201
Kirkland, WA 98034-3004
Phone
(425) 820-8474
NPI assigned
Apr 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT00010326 WA Primary

Addresses

Primary practice location

13118 121St Way NE
Suite 201
Kirkland, WA 98034-3004

Mailing address

13118 121St Way NE
Suite 201
Kirkland, WA 98034-3004
Phone (425) 820-8474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000462 WA Practitioner - Physical Therapist in Private Practice 9436213477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuohy Physical Therapy LLCGroup PAC ID 2264577550, 15 clinicians

Practice addresses (Care Compare)

22717 SE 29TH St
Suite D100
Sammamish, WA 98075-9532
Phone (425) 883-9631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, 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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831316074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "425-820-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "425-820-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH MEHTA",
        "first_name": "PINA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.