Active NPI
Trusha P Patel, PT
- Physical Therapist
- Lake Elsinore, CA
National Provider Identifier
1053613935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-018217
- Practice address
- 31764 Casino Dr Ste 106
Lake Elsinore, CA 92530-4571 - Phone
- (951) 471-3300
- NPI assigned
- Nov 26, 2010
- 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 | 293020 | CA | |
| Physical Therapist | 225100000X | 070-018217 | IL | Primary |
Addresses
Primary practice location
31764 Casino Dr Ste 106
Lake Elsinore, CA 92530-4571
Mailing address
24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other practice location 1
15400 E 127th St
Ste C
Lemont, IL 60439-8408
Phone (630) 257-9787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-018217 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053613935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31764 CASINO DR STE 106",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304571",
"telephone_number": "951-471-3300"
}
],
"practiceLocations": [
{
"address_1": "15400 E 127th St",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Lemont",
"state": "IL",
"postal_code": "604398408",
"country_code": "US",
"telephone_number": "630-257-9787",
"fax_number": "630-257-9947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "TRUSHA",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293020",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-018217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.