HETAL A SHAH LPT
NPI 1336168269
Physical Therapist in Springfield, IL

Active since July 19, 2006Accepts Medicare Assignment
5220 S 6TH STREET RD, SUITE 1500, SPRINGFIELD, IL 62703(217) 529-8469(217) 529-5580 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hetal A Shah Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETAL A SHAH LPT (NPI 1336168269) is an individual physical therapist in Springfield, Illinois and active in the NPI registry since July 2006. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1336168269
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHETAL A SHAHCredential: LPT
Location Address5220 S 6TH STREET RD, SUITE 1500Springfield, IL 62703-5735
Mailing Address5220 S 6th Street Rd, Suite 1500Springfield, IL 62703-5735 · (217) 529-8469 · Fax (217) 529-5580
Fax(217) 529-5580
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 12, 2007
NPI 1336168269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5220 S 6TH STREET RD, Springfield, IL 62703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hetal A Shah Lpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789680240
PECOS Enrollment IDI20221111001619

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Counselor (Professional)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Speech-Language Pathologist
5220 S 6TH STREET RD, SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
SPRINGFIELD, IL 62703
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Ophthalmology
5220 S 6TH STREET RD, SUITE 2300
SPRINGFIELD, IL 62703
Counselor (Professional)
5220 S 6TH STREET RD, SUITE 1700
SPRINGFIELD, IL 62703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetal Shah's NPI number?

The NPI number for Hetal Shah is 1336168269. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Hetal Shah located?

Hetal Shah practices at 5220 S 6th Street Rd Suite 1500, Springfield, IL 62703. The listed phone number is (217) 529-8469.

What is Hetal Shah's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Hetal Shah enrolled in Medicare?

Yes. Hetal Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hetal Shah accept?

Health plans from MedMutual list Hetal Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hetal Shah was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.