DHAVAL JAYANTKUMAR SHAH PT
NPI 1609187277
Physical Therapist in South Plainfield, NJ

Active since June 29, 2010Accepts Medicare Assignment
2509 PARK AVE STE 2C, SOUTH PLAINFIELD, NJ 07080(908) 205-8246(908) 325-0420 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dhaval Jayantkumar Shah Pt NPPES

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

DHAVAL JAYANTKUMAR SHAH PT (NPI 1609187277) is an individual physical therapist in South Plainfield, New Jersey, licensed in New York (032263) and active in the NPI registry since June 2010. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1609187277
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDHAVAL JAYANTKUMAR SHAHCredential: PT
Location Address2509 PARK AVE STE 2CSouth Plainfield, NJ 07080-5300
Mailing Address12 Palm CtEdison, NJ 08820-4309 · (201) 238-6073
Fax(908) 325-0420
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 29, 2010
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1609187277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 032263
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.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 40QA01465800 (NJ)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
2509 PARK AVE STE 2C, South Plainfield, NJ 07080

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dhaval Jayantkumar Shah Pt 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 ID1658539416
PECOS Enrollment IDI20221217000067

Medicare Billing Reassignments

13

Medicare enrollment records show Dhaval Shah reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
2509 PARK AVE STE 2C
South Plainfield, NJ 07080
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
Physical Therapist
10 JONATHAN DR
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
1655 OAK TREE RD STE 150
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
Physical Therapist
5 BOXWOOD WAY
Warren, NJ 07059
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
Home Health
61 TROY DR APT B
Springfield, NJ 07081
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
Physical Therapist
622 EAGLE ROCK AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 472 clinicians in this Medicare group
Occupational Therapist
30 WINONAH AVE
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
Physical Therapist
266 HARRISTOWN RD STE 200
Glen Rock, NJ 07452
  • Reassigned Medicare billing, New Jersey enrollment
  • 224 clinicians in this Medicare group
Physical Therapist
11 MALKE DR
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 175 clinicians in this Medicare group
Physical Therapist
5 BOROLINE RD
Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
740 services12 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
207 services15 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
98 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 3

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

Occupational Therapist
2509 PARK AVE STE 2C
SOUTH PLAINFIELD, NJ 07080
Occupational Therapist
2509 PARK AVE STE 2C
SOUTH PLAINFIELD, NJ 07080
Occupational Therapist
2509 PARK AVE STE 2C
SOUTH PLAINFIELD, NJ 07080

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 Dhaval Shah's NPI number?

The NPI number for Dhaval Shah is 1609187277. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Dhaval Shah located?

Dhaval Shah practices at 2509 Park Ave Ste 2C, South Plainfield, NJ 07080. The listed phone number is (908) 205-8246.

What is Dhaval Shah's specialty?

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

Is Dhaval Shah enrolled in Medicare?

Yes. Dhaval 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.

Which organizations bill Medicare for Dhaval Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhaval Shah reassigns Medicare benefits to 13 organizations: Garden State Hand Therapy LLC (South Plainfield, NJ), Fit At Home Physical Therapy & Rehabilitation Services LLC (Edison, NJ), Akshar Physical Therapy & Rehabilitation PLLC (Edison, NJ), Synaptic Rehabilitation, LLC (Warren, NJ), Vitality Health Care (Springfield, NJ) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhaval Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhaval Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dhaval 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 Dhaval Shah was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.