Individual provider Active NPI

Kinjalben Ankur Patel

  • Physical Therapist
  • Landisville, PA
National Provider Identifier
1053863175
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027435 Issued in PA
Practice address
1463 Limestone RDG
Landisville, PA 17538-1539
Phone
(201) 562-4631
NPI assigned
Oct 25, 2016
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 J10003515 DE
Physical Therapist 225100000X PT027435 PA Primary

Addresses

Primary practice location

1463 Limestone RDG
Landisville, PA 17538-1539

Mailing address

2001 Harrisburg Pike
Lancaster, PA 17601-2603
Phone (717) 735-2606

Other practice location 1

4949 Ogletown Stanton Rd
Newark, DE 19713-2068
Phone (302) 409-3244

Other practice location 2

2001 Harrisburg Pike
Lancaster, PA 17601-2603
Phone (717) 735-2606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005003049 PA Practitioner - Physical Therapist in Private Practice 1557769551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

903 Nissley Rd
Suite E
Lancaster, PA 17601-1472
Phone (717) 686-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10003515DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mennonite Home CurrentSince Jul 24, 2021 Accepting new patients
Wellness Merge Rehab Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients

Locations

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

903 Nissley Rd
Ste E
Lancaster, PA 17601
Phone (717) 686-0681

Organizations & group practices 2

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1053863175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012603",
            "telephone_number": "717-735-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 LIMESTONE RDG",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381539",
            "telephone_number": "201-562-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132068",
            "country_code": "US",
            "telephone_number": "302-409-3244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012603",
            "country_code": "US",
            "telephone_number": "717-735-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJALBEN",
        "middle_name": "ANKUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10003515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landisville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.