Individual provider Active NPI

Tina Patel, DC

  • Chiropractor
  • Great Falls, VA
National Provider Identifier
1073105318
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558129 Issued in VA
Practice address
754 Walker Rd
Great Falls, VA 22066-2654
Phone
(703) 757-5817
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558129 VA Primary

Addresses

Primary practice location

754 Walker Rd
Great Falls, VA 22066-2654

Mailing address

2498 Curie CT
Herndon, VA 20171-6101
Phone (973) 668-1446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011000098 NJ Practitioner - Chiropractic 6709292659 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Physical Therapy and Rehab Center LLCGroup PAC ID 1951705433, 5 clinicians

Practice addresses (Care Compare)

1373 Broad St
Clifton, NJ 07013-4231
Phone (862) 249-1330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013445NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maywood Physical Therapy LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
Chiropractic Works, LLC Chiropractor CurrentSince Jun 30, 2022 Accepting new patients
Paramus Physical Therapy and Rehabilitation LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
Emerson Physical Therapy LLC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor PastSince Feb 25, 2021 Accepting new patients
Town Chiropractor Paramus LLC Chiropractor Past Accepting new patients
East Greenbush Chiropractic Chiropractor PastSince Feb 1, 2021 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1073105318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 CURIE CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716101",
            "telephone_number": "973-668-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 WALKER RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662654",
            "telephone_number": "703-757-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.