Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mirab Mickey Shah, PT

Individual provider Physical Therapy Clinic/Center · NPI 1902079981

Dr. Mirab Mickey Shah, PT is a Physical Therapist in Private Practice in Orland Park, Illinois. Qualified in 2003, 23 years ago. Practices with Goodlife Physical Therapy, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16517 106th Ct
Orland Park, IL 60467-4545
Phone: (708) 966-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9730 S Western Ave Ste 240, Evergreen Park, IL 60805-2763 — (708) 581-9700
  • 14753 Founders Xing, Homer Glen, IL 60491-6716 — (708) 645-7700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070013727 (IL)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 060010072 (IL)

Record details

NPI number1902079981
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 10, 2008
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Goodlife Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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