Primitkumar P. Shah, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-009282 Issued in IL

Practice address

106 Indian Trail Rd
Oak Brook, IL 60523-2777

Phone

(630) 621-2826

Fax

(708) 683-5124

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suburban PT, Inc.

  • Physical Therapy Assistant
  • Cicero, IL
  • NPI 1417294240

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1962687020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 INDIAN TRAIL ROAD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232777",
            "telephone_number": "630-621-2826",
            "fax_number": "708-683-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 INDIAN TRAIL RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232777",
            "telephone_number": "630-621-2826",
            "fax_number": "708-683-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIMITKUMAR",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maureen Seybold, PHARMD
• Mohammed Shabbir, M.D.
• Muzaffar Mohammed Shah-Khan, DDS, MPH
• Holly Shah, LPC
• Nikita Shah, OD
• Sumayya Shams, HIS
• Michael James Shannon, M.D.
• Shared Vision Psychological Services
• Henry Sharfaei, DDS
• Rajani Sharma

• Physical Therapist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.