Individual provider Active NPI

Hapeesh Rajpal

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1043546047
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010126A Issued in IN
Practice address
3201 W Commercial Blvd Ste 116
Ft Lauderdale, FL 33309-3444
Phone
(866) 943-5884
Fax
(866) 895-4856
NPI assigned
Oct 26, 2009
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010126A IN Primary
Physical Therapist 225100000X 5501014049 MI

Addresses

Primary practice location

3201 W Commercial Blvd Ste 116
Ft Lauderdale, FL 33309-3444

Mailing address

3201 W Commercial Blvd Ste 116
Ft Lauderdale, FL 33309-3444
Phone (866) 943-5884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505000319 IN Practitioner - Physical Therapist in Private Practice 1850700717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

1909 Veterans Memorial Pkwy S
Suite 100
Lafayette, IN 47909-9401
Phone (765) 250-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014049MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Oct 27, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 27, 2022 Accepting new patients
Martin County Urgent Care LLC CurrentSince Aug 13, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Current Accepting new patients
Medpro Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Jan 26, 2020 Accepting new patients

Locations

1909 Veterans Memorial Pkwy S
Ste 100
Lafayette, IN 47909
Phone (765) 250-9190

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

Organizations & group practices 6

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1043546047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 116",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093444",
            "telephone_number": "866-943-5884",
            "fax_number": "866-895-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 116",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093444",
            "telephone_number": "866-943-5884",
            "fax_number": "866-895-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPAL",
        "first_name": "HAPEESH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010126A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.