Individual provider Active NPI

Vidhi Shah

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1871242495
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028417 Issued in IL
Practice address
3000 Celebration Blvd
Suwanee, GA 30024-1054
Phone
(678) 648-4930
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 070.028417 IL Primary

Addresses

Primary practice location

3000 Celebration Blvd
Suwanee, GA 30024-1054

Mailing address

2910 Buford Dr Apt 723
Buford, GA 30519-6526
Phone (678) 907-7224

Other practice location 1

2910 Buford Dr Apt 723
Buford, GA 30519-6526
Phone (678) 907-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220610000531 GA Practitioner - Physical Therapist in Private Practice 1456739036 Reassigns benefits to 2 organizations
I20240920000608 IL Practitioner - Physical Therapist in Private Practice 1456739036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

425 Davis St
Evanston, IL 60201-4729
Phone (847) 492-7713

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028417ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Apr 2, 2025 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

Organizations & group practices 5

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1871242495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BUFORD DR APT 723",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196526",
            "telephone_number": "678-907-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CELEBRATION BLVD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241054",
            "telephone_number": "678-648-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Buford Dr Apt 723",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305196526",
            "country_code": "US",
            "telephone_number": "678-907-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIDHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.