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

Hetvi Sanjaykumar Shah

Individual provider Physical Therapist · NPI 1083411698

Hetvi Sanjaykumar Shah is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2024, 2 years ago. Practices with Evidence Physical Therapy, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

14501 Baltimore Ave
Laurel, MD 20707-4901
Phone: (301) 799-9466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30313 (MD)

Record details

NPI number1083411698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025
Mailing address12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Evidence Physical Therapy, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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