Individual provider Active NPI

Ami Shahiwala, RPT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1992242259
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3365 Regent Blvd
Irving, TX 75063-3122
Phone
(469) 647-4833
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501014881 MI
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

3365 Regent Blvd
Irving, TX 75063-3122

Mailing address

5207 Middleton Dr
Parker, TX 75002-3671
Phone (614) 886-7866

Other practice location 1

525 E Big Beaver Rd
Suite 305
Troy, MI 48083-1364
Phone (248) 817-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501014881MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seva Rehab LLC Physical Therapist PastSince Jan 1, 2023 Accepting new patients
Troy Physical Therapy Services LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1992242259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 MIDDLETON DR",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750023671",
            "telephone_number": "614-886-7866",
            "fax_number": "486-913-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633122",
            "telephone_number": "469-647-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Big Beaver Rd",
            "address_2": "SUITE 305",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831364",
            "country_code": "US",
            "telephone_number": "248-817-5870",
            "fax_number": "248-817-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHIWALA",
        "first_name": "AMI",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014881",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.