Individual provider Active NPI

Priya Shah

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1891347241
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.024416 Issued in IL
Practice address
1751 S Naperville Rd
Wheaton, IL 60189-5896
Phone
(630) 682-9700
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 070.024416 IL Primary

Addresses

Primary practice location

1751 S Naperville Rd
Wheaton, IL 60189-5896

Mailing address

315 S Naperville Rd
Wheaton, IL 60187-5423
Phone (630) 221-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000089 IL Practitioner - Physical Therapist in Private Practice 1456689876 Reassigns benefits to 2 organizations

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
R3S LLCGroup PAC ID 1557700291, 2 clinicians
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

2401 Kaneville Rd
Suite 5
Geneva, IL 60134-2577
Phone (630) 912-8636

2800 Desplaines Ave
North Riverside, IL 60546-1851
Phone (708) 443-4217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024416ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
R3S LLC Physical Therapist CurrentSince Apr 18, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

2401 Kaneville Rd
Ste 5
Geneva, IL 60134
Phone (608) 628-4612

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

2800 Desplaines Ave
Riverside, IL 60546
Phone (708) 443-4217

Organizations & group practices 3

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1891347241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895896",
            "telephone_number": "630-682-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.