Healthcare Provider Details

I. General information

NPI: 1427482769
Provider Name (Legal Business Name): RICHA SHAH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 HAMILL RD STE 2000
HIXSON TN
37343-6608
US

IV. Provider business mailing address

PO BOX 80426
CHATTANOOGA TN
37414-7426
US

V. Phone/Fax

Practice location:
  • Phone: 423-698-0304
  • Fax:
Mailing address:
  • Phone: 423-495-3671
  • Fax: 214-429-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13372
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60405125
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: