MEDICARE: RITU V SHAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0119007127	VA

General Provider Information

NPI Number	:	1568867059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITU V SHAH

Provider Business Mailing Address
First Line	:	713 NEWARK AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2803
Country	:	US
Telephone Number	:	614-216-9995
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CARPENTER DR STE 140
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20164-4464
Country	:	US
Telephone Number	:	703-707-9060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	01/05/2026

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Directions to “ RITU V SHAH ” Practice Location

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