Active NPI
Runzun Shetye, DPT
- Physical Therapist
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18212
- Practice address
- 3 Burlington Woods
Suite 304
Burlington, MA 01803-4514 - Phone
- (781) 270-0222
- NPI assigned
- Oct 15, 2008
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18212 | MA | Primary |
Addresses
Primary practice location
3 Burlington Woods
Suite 304
Burlington, MA 01803-4514
Mailing address
1412 Mara Vista CT
Crofton, MD 21114-1132
Phone (339) 545-6361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18212 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Riva Rd
Suite 130
Annapolis, MD 21401-7437
Phone (410) 266-8010
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.6 of 100
- Quality
- 23.54
- Promoting interoperability
- 98
- Improvement activities
- 30
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18212 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Annapolis Lymphedema Center | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091
2525 Riva Rd
Ste 130
Annapolis, MD 21401
Phone (410) 266-8010
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Annapolis, MD
- NPI 1396805008
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Easton, MD
- NPI 1104355189
-
dba AAMG Physical Therapy Cape St. Claire
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1972755510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MARA VISTA CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141132",
"telephone_number": "339-545-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BURLINGTON WOODS",
"address_2": "SUITE 304",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034514",
"telephone_number": "781-270-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETYE",
"first_name": "RUNZUN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2021-09-21",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18212",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.