Mrs Heather Renae Shah, PT | |
3000 Centerpoint Pkwy, Pontiac, MI 48341-3116 | |
(248) 857-6776 | |
(248) 857-7102 |
Full Name | Mrs Heather Renae Shah |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3000 Centerpoint Pkwy, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114185816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2000146906 (Missouri) | Secondary |
225100000X | Physical Therapist | 5501015693 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Mrs Heather Renae Shah, PT 5810 Farmington Rd, West Bloomfield, MI 48322-1566 Ph: (619) 787-5819 | Mrs Heather Renae Shah, PT 3000 Centerpoint Pkwy, Pontiac, MI 48341-3116 Ph: (248) 857-6776 |
Mrs. Anjani Vemireddy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Auburn Ave, Pontiac, MI 48342 Phone: 248-335-9490 | |
Thamilarasi Subramanian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Sarah Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Centerpoint Pkwy, Pontiac, MI 48341 Phone: 248-857-6776 Fax: 248-857-7102 | |
Shalin R Lashkari, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Mrs. Michelle Marie Mcdonald, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44555 Woodward Ave, Suite 080, Pontiac, MI 48341 Phone: 248-858-6950 | |
Triamsee Bandala, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Auburn Ave Ste 100, Pontiac, MI 48342 Phone: 248-332-8600 | |
Joel Thomas Sterling, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Auburn Ave, Pontiac, MI 48342 Phone: 248-333-3335 Fax: 248-333-0276 |