Organization Active NPI

Neha Shah PT Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1922419563
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28974 Issued in CA
Legal business name
NEHA SHAH PT INC
Practice address
544 S San Vicente Blvd
Los Angeles, CA 90048-4622
Phone
(323) 655-8528
Fax
(323) 677-2123
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Neha Shah, PTNPI 1134378920
Title
President
Phone
(818) 634-0376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 28974 CA Primary

Addresses

Primary practice location

544 S San Vicente Blvd
Los Angeles, CA 90048-4622

Mailing address

2633 Lincoln Blvd
136
Santa Monica, CA 90405-4619
Phone (818) 634-0376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140626002544 CA Part B Supplier - Clinic/Group Practice 2163647579 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

508 S San Vicente Blvd
Ste 480
Los Angeles, CA 90048

544 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 655-8528

542 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 655-8528

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1922419563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 LINCOLN BLVD",
            "address_2": "136",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054619",
            "telephone_number": "818-634-0376",
            "fax_number": "323-677-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484622",
            "telephone_number": "323-655-8528",
            "fax_number": "323-677-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHA SHAH PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-634-0376",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.