DHARA SHAH – Physical Therapist, NPI 1053772350

DHARA SHAH is a healthcare provider. based in Ozark, Alabama. specializing in Physical Therapist. They hold a License No. PTH7863 (AL). The NPI Number for DHARA SHAH is 1053772350

Main info

Female
11 Years Of Experience
Name
DHARA SHAH
NPI
1053772350
Phone
(866) 855-1025
Address
618 ANDREWS AVE
Enumeration Date
14 March 2016
Last Update Date
14 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004446845
Graduation Year
2015 (11 years ago)
PAC ID
9638477276
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20181018002982
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DHARA SHAH

  • 618 ANDREWS AVE

    SUITE E

    OZARK, AL 363601718

    Phone: (866) 855-1025

    Fax: (334) 649-3020

    Type: Location

  • 251, Johnston Street Southeast, Decatur, Morgan County, Alabama, 35601, United States

    SUITE 300

    DECATUR, AL 356012515

    Phone: (256) 340-9708

    Fax: (256) 340-9624

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241204000506IPhysical Medicine And RehabilitationNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193036432View full group profile
NameSpecialtyState
-MO
-IL
Qualified Speech Language PathologistFL
-MO
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeWI
-WI
-WI
-FL
-WI

Reviews

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Frequently asked questions

Where can patients find DHARA SHAH's NPI?
You can confirm DHARA SHAH with NPI 1053772350; it appears in the national provider directory.
Is DHARA SHAH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DHARA SHAH treat or focus on?
Patients typically see DHARA SHAH under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DHARA SHAH practice in Alabama?
You will see Ozark, Alabama on file for DHARA SHAH alongside any extra practice locations.
What if Ozark, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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