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

Rahul Chaitanya Shah

Individual provider Physical Therapist · NPI 1255945226

Rahul Chaitanya Shah is a Physical Therapist in Private Practice in Berrien Springs, Michigan. Qualified in 2021, 5 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

6160 Snyder Rd
Berrien Springs, MI 49103-9670
Phone: (269) 759-0072
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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 5501019723 (MI)

Record details

NPI number1255945226
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 7, 2020
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Berrien Springs