VIDISHA SHAH (MPT) – Physical Therapist, NPI 1003152265

VIDISHA SHAH (MPT) is a healthcare provider. based in Jersey city, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 035781 (NY). The NPI Number for VIDISHA SHAH (MPT) is 1003152265

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
VIDISHA SHAH (MPT)
NPI
1003152265
Phone
(626) 202-3596
Address
610 WASHINGTON BLVD
Enumeration Date
17 December 2012
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327202555
Graduation Year
2012 (14 years ago)
PAC ID
5991014953
Group Practice PAC ID
3072561158
Professional Enrollment ID
I20151014002686
Address ID
NJ077287904FR301XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for VIDISHA SHAH (MPT)

  • 610 WASHINGTON BLVD

    JERSEY CITY, NJ 073101400

    Phone: (626) 202-3596

    Mailing address matches the actual address.

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: 2015-10-14

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
I20151014002686IPhysical Therapist In Private PracticeNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,69994$0
97140Therapy procedure using manual technique, each 15 minutes1,55193$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31212$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8920$0
97162Evaluation for physical therapy, typically 30 minutes5149$0
View full utilization report →

Insurance plans in this area (ZIP 07310)

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Provider's Procedures

VIDISHA SHAH (MPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNY97001Physical therapy evaluation5151

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: 3072561158View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryNJ
Orthopedic SurgeryNJ
Physical Therapist In Private PracticeTX
Orthopedic SurgeryNJ
Physical Therapist In Private PracticeNJ
Orthopedic SurgeryPA
Orthopedic SurgeryNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

Can I use this page to confirm VIDISHA SHAH (MPT)'s NPI?
Yes. VIDISHA SHAH (MPT) is listed with NPI 1003152265 in the public NPI dataset.
Does CMS list VIDISHA SHAH (MPT) as active?
Yes — VIDISHA SHAH (MPT) is active in the NPI listing used on this page.
What healthcare role does VIDISHA SHAH (MPT) hold?
Scheduling teams often label VIDISHA SHAH (MPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does VIDISHA SHAH (MPT) serve?
VIDISHA SHAH (MPT)'s listing highlights Jersey City, New Jersey; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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