Active NPI
Sanjay Shah, PT
- Physical Therapist
- Cary, NC
National Provider Identifier
1851450886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8487
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211310 | Medicaid | NC | |
| 078M2 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8487 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Cary, NC
- NPI 1306986658
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.