Individual provider Active NPI

Sanjay Shah, PT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1851450886
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8487 Issued in NC
Practice address
519 Keisler Dr. Ste# 204
Cary, NC 27518-7098
Phone
(919) 851-1164
Fax
(919) 851-1196
NPI assigned
Dec 6, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 8487 NC Primary

Addresses

Primary practice location

519 Keisler Dr. Ste# 204
Cary, NC 27518-7098

Mailing address

112 Annandale Dr
Cary, NC 27511-6502
Phone (919) 851-1164

Other identifiers 2

IdentifierTypeStateIssuer
7211310MedicaidNC
078M2OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000347 NC Practitioner - Physical Therapist in Private Practice 8224096490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Physical Therapy, Inc.Group PAC ID 2567429731, 2 clinicians

Practice addresses (Care Compare)

519 Keisler Dr
Suite 204
Cary, NC 27518-7098
Phone (919) 851-1164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8487NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Physical Therapy, Inc. Physical Therapist CurrentSince Jun 14, 2002 Accepting new patients

Locations

519 Keisler Dr
Ste 204
Cary, NC 27518
Phone (919) 851-1164

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1851450886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ANNANDALE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116502",
            "telephone_number": "919-851-1164",
            "fax_number": "919-851-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 KEISLER DR. STE# 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187098",
            "telephone_number": "919-851-1164",
            "fax_number": "919-851-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANJAY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211310",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078M2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.