Mirab Mickey Shah, PT
NPI 1902079981ActiveIndividual· Physical Therapist· Orland Park, IL
Physical Therapist (PT) with Goodlife Physical Therapy, practicing in Orland Park, Illinois. Medicare paid $91,130 for services to 172 patients in 2024.
Overview
| NPI | 1902079981 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2008 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Aug 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070013727 | IL |
| Clinic/Center, Physical Therapy | 261QP2000X | 060010072 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 3,671 across 8 procedure codes |
| Paid by Medicare | $91,130 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Goodlife Physical TherapyOrland Park, IL · 9 clinicians
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All 175 physical therapists in Orland Park · All physical therapists in Illinois