Individual provider Active NPI

Shivani M Shah, DPT

  • Physical Therapist
  • Powell, OH
National Provider Identifier
1881021079
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014493 Issued in OH
Practice address
10104 Brewster LN Ste 180
Powell, OH 43065-7578
Phone
(614) 827-8700
Fax
(614) 827-8701
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 PT014493 OH Primary

Addresses

Primary practice location

10104 Brewster LN Ste 180
Powell, OH 43065-7578

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140129001589 OH Practitioner - Physical Therapist in Private Practice 3870722523 Reassigns benefits to 1 organization
I20200522000630 MD Practitioner - Physical Therapist in Private Practice 3870722523 Reassigns benefits to 1 organization
I20200914002881 DC Practitioner - Physical Therapist in Private Practice 3870722523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

10104 Brewster LN
Powell, OH 43065-7575
Phone (614) 827-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014493OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 24, 2020 Accepting new patients
Orthopedic One, Inc CurrentSince Sep 11, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic One, Inc CurrentSince Sep 11, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 24, 2020 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic One, Inc. CurrentSince Sep 8, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

7750 Diley Rd
#B
Canal Winchester, OH 43110
Phone (614) 545-7939

8080 N High St
Columbus, OH 43235
Phone (614) 515-5672

3600 Stelzer Rd
Ste 240
Columbus, OH 43219
Phone (614) 827-1300

460 W Central Ave
Delaware, OH 43015
Phone (740) 369-8751

6840 Perimeter Dr
Dublin, OH 43016
Phone (614) 764-8700

6810 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 408-0840

605 Crescent Pl
Gahanna, OH 43230

5500 N Meadows Dr
Grove City, OH 43123
Phone (614) 488-1816

4611 Trueman Blvd
Ste B
Hilliard, OH 43026
Phone (614) 340-0683

10104 Brewster Ln
Powell, OH 43065
Phone (614) 827-8390

10104 Brewster Ln
Ste 180
Powell, OH 43065
Phone (614) 929-0463

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: sshah@orthopedicone.medentdirect.com

Organizations & group practices 8

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1881021079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 BREWSTER LN STE 180",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657578",
            "telephone_number": "614-827-8700",
            "fax_number": "614-827-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHIVANI",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.