Azhar S Shah, MSPT

Primary specialty

ContractorTaxonomy code 171W00000X

License

2007028770 Issued in MO

Practice address

1979 Lakeside Pkwy
Ste. 250
Tucker, GA 30084-5935

Phone

(678) 837-1252

Fax

(770) 908-2203

NPI assigned

Oct 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Physical Therapy Collective, LLC

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1699269928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1902085814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 LAKESIDE PKWY",
            "address_2": "STE. 250",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845935",
            "telephone_number": "678-837-1252",
            "fax_number": "770-908-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 LAKESIDE PKWY",
            "address_2": "STE. 250",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845935",
            "telephone_number": "678-837-1252",
            "fax_number": "770-908-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AZHAR",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "2007028770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Schwegman, LCSW
• Select Physical Therapy Holdings Inc
• Semantix, Inc
• Senior Mobility, Inc.
• Elisha Sewell
• Shilpa R Shah, MD
• Quentre Shannon, DC
• David Adam Shapiro, DC
• Nathan Shapiro, DDS
• Rita Sharma, MD

• Contractor in Tucker, GA
• Providers in Tucker, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.