Individual provider Active NPI

Niraj Patel, DPT

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1033568555
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1150 First Ave
Ste 511
King of Prussia, PA 19406-1316
Phone
(610) 456-2133
NPI assigned
Jun 6, 2016
Last updated
Jul 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1150 First Ave
Ste 511
King of Prussia, PA 19406-1316

Mailing address

PO Box 227
Yardley, PA 19067-8227
Phone (267) 391-9576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160809003110 NJ Practitioner - Physical Therapist in Private Practice 0648564948 Reassigns benefits to 1 organization
I20180829000680 PA Practitioner - Physical Therapist in Private Practice 0648564948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth, LLC Physical Therapist CurrentSince Jun 3, 2018 Accepting new patients
Advance Spine and Pain Physical Therapy, LLC CurrentSince Sep 1, 2018 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Asap Physical Therapy PastSince Sep 1, 2018 Accepting new patients

Locations

1919 Greentree Rd
Ste B
Cherry Hill, NJ 08003
Phone (856) 424-0993

225 E State St
Ste 12
Trenton, NJ 08608
Phone (609) 349-0361

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

1150 1st Ave
Ste 511
Kng of Prussa, PA 19406
Phone (309) 665-0206

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1033568555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190678227",
            "telephone_number": "267-391-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FIRST AVE",
            "address_2": "STE 511",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061316",
            "telephone_number": "610-456-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAJ",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.