Hetal A Shah, LPT
Hetal A Shah, LPT is a Physical Therapist in Private Practice in Springfield, Illinois. Qualified in 2003, 23 years ago. Practices with Outpatient at Home LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 23
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5220 S 6th Street Rd Ste 1500Springfield, IL 62703-5735
Phone: (217) 529-8469
Fax: (217) 529-5580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X (IL) |
|---|
Record details
| NPI number | 1336168269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPT |
| Sole proprietor | No |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | December 12, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Outpatient At Home Llc — 38 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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