Khushbu Jaldipkumar Patankar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018273 Issued in MI

Practice address

26400 W 12 Mile Rd Ste 25
Southfield, MI 48034-1774

Phone

(248) 565-4000

Fax

(248) 565-4020

NPI assigned

Nov 21, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1073027496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "fax_number": "248-565-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 25",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANKAR",
        "first_name": "KHUSHBU",
        "middle_name": "JALDIPKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalle Pasch
• Pase & Associates Counseling Center LLC (Grateful Hearts MIHP)
• Anteo Pashaj, D.O.
• Caitlyn Emilie Passino
• Serenity Pastor
• Arpit Kantilal Patel
• Arth Anantbhai Patel, MD
• Avani Patel
• Digna Patel
• Gargi Patel, LLMSW

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.