Jaykumar Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

102 8TH St
Covington, IN 47932-1558

Phone

(931) 570-0708

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mira Physical Therapy LLC

  • Physical Therapist
  • Covington, IN
  • NPI 1154147767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1053136903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 8TH ST",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479321558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 8TH ST",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479321558",
            "telephone_number": "931-570-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Nara
• Lisa Kay Nickle, APRN
• Jessica Niemiec, MBA,RD
• Whitney Overpeck
• Leona Margaret Paddock
• Joseph Pepprock, ED.S.
• Makenzie Jo Pollard, OTR/L
• Jonathon D Satterfield
• Melisa Saunders, LMHCA, NCC
• Ryan Andrew Sowers

• Physical Therapist in Covington, IN
• Providers in Covington, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.