Active NPI
Ankit Minesh Shah, PT
- Physical Therapist
- Ceres, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297491
- Practice address
- 2908 E Whitmore Ave Ste E
Ceres, CA 95307-2800 - Phone
- (209) 622-4149
- Fax
- (209) 622-4159
- NPI assigned
- Jun 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26429 | MD | |
| Physical Therapist | 225100000X | 297491 | CA | Primary |
Addresses
Primary practice location
2908 E Whitmore Ave Ste E
Ceres, CA 95307-2800
Mailing address
2908 E Whitmore Ave Ste E
Ceres, CA 95307-2800
Phone (209) 622-4149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Vista del Lago Dr
Suite a
Valley Springs, CA 95252-9700
Phone (209) 772-0848
2908 E Whitmore Ave
Suite E
Ceres, CA 95307-2800
Phone (209) 622-4149
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26429 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Active Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients | |
| Maryland Spine Rehab, LLC | Past | Accepting new patients |
Locations
2908 E Whitmore Ave
Ste E
Ceres, CA 95307
Phone (209) 264-8934
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
1515 Merritt Blvd
Dundalk, MD 21222
Phone (410) 285-0920
7106 Ridge Rd
Ste 150
Rosedale, MD 21237
Phone (410) 238-3030
3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200
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.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapy Clinic/Center
- Cambridge, MD
- NPI 1467757575
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
-
- Physical Therapist
- Laurel, MD
- NPI 1225217334
-
- Chiropractor
- Dundalk, MD
- NPI 1629251830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1902334071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 E WHITMORE AVE STE E",
"city": "CERES",
"state": "CA",
"postal_code": "953072800",
"telephone_number": "209-622-4149",
"fax_number": "209-622-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 E WHITMORE AVE STE E",
"city": "CERES",
"state": "CA",
"postal_code": "953072800",
"telephone_number": "209-622-4149",
"fax_number": "209-622-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANKIT",
"middle_name": "MINESH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2024-10-10",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26429",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.