Individual provider Active NPI

Vrunda Tushar Patel

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1033896758
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1375890 Issued in TX
Practice address
14520 Old Katy Rd Ste 112
Houston, TX 77079-1000
Phone
(832) 605-4494
NPI assigned
Jul 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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 1375890 TX Primary

Addresses

Primary practice location

14520 Old Katy Rd Ste 112
Houston, TX 77079-1000

Mailing address

20223 Highfield Park Dr
Cypress, TX 77433-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121002220 TX Practitioner - Physical Therapist in Private Practice 8527416197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JPG Services LLCGroup PAC ID 1658766779, 3 clinicians

Practice addresses (Care Compare)

23144 Cinco Ranch Blvd
Suite 23144 E
Katy, TX 77494-2894
Phone (281) 769-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1375890TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JPG Services LLC Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients

Locations

23144 Cinco Ranch Blvd
Ste 23144E
Katy, TX 77494
Phone (281) 769-2301

23144 Cinco Ranch Blvd
Ste E
Katy, TX 77494
Phone (281) 769-2301

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1033896758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20223 HIGHFIELD PARK DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 OLD KATY RD STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791000",
            "telephone_number": "832-605-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VRUNDA",
        "middle_name": "TUSHAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1375890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.

Verify at the official NPI Registry.