DR. MIRAB MICKEY SHAH (PT) – Physical Therapist, NPI 1902079981
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for DR. MIRAB MICKEY SHAH (PT)
7700 GRAPHIC DR
TINLEY PARK, IL 604776228
Phone: (708) 308-7919
Type: Location
14753 Founders Xing
Homer Glen, IL 604916716
Phone: (708) 645-7700
Type: Location
9730 S Western Ave Ste 240
Evergreen Park, IL 608052763
Phone: (708) 581-9700
Type: Location
16517 106TH CT
ORLAND PARK, IL 604674545
Phone: (708) 966-4386
Type: Location
106th Court, Alpine, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
ORLAND PARK, IL 604674545
Phone: (708) 966-4386
Fax: (708) 966-4387
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: 2008-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080520000773 | I | Physical Therapist In Private Practice | IL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,502 | 117 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 483 | 100 | $0 |
| 97530 | Therapy procedure using functional activities | 274 | 76 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 217 | 50 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 74 | 69 | $0 |
Insurance plans in this area (ZIP 60477)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL |
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