Active NPI
Anjali Patel
- Physical Therapist
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070028273
- Practice address
- 2197 Madison St Ste 106
Clarksville, TN 37043-5253 - Phone
- (931) 503-1700
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17037 | TN | |
| Physical Therapist | 225100000X | 070028273 | IL | Primary |
Addresses
Primary practice location
2197 Madison St Ste 106
Clarksville, TN 37043-5253
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
2200 Waukegan Rd
Glenview, IL 60025-1759
Phone (847) 571-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2197 Madison St
Suite 106
Clarksville, TN 37043-5253
Phone (931) 503-1700
2200 Waukegan Rd
Glenview, IL 60025-1759
Phone (312) 878-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17037 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution PTWL LLC | Physical Therapist | Current | Accepting new patients |
Locations
845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255
205 N Wells St
Chicago, IL 60606
Phone (312) 957-8882
3418 S Halsted St
Chicago, IL 60608
Phone (773) 337-7627
4851 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 241-7350
3168 N Broadway St
Chicago, IL 60657
Phone (312) 586-7977
720 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 730-8456
2200 Waukegan Rd
Glenview, IL 60025
Phone (312) 475-1893
28 N Cass Ave
Westmont, IL 60559
Phone (630) 435-1800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1164766606
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1003657354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2197 MADISON ST STE 106",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435253",
"telephone_number": "931-503-1700"
}
],
"practiceLocations": [
{
"address_1": "2200 Waukegan Rd",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600251759",
"country_code": "US",
"telephone_number": "847-571-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ANJALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "17037",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.