Active NPI
Krunalkumar Patel
- Physical Therapist
- Ypsilanti, MI
National Provider Identifier
1073976965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017146
- Practice address
- 340 Ecorse Rd
Ypsilanti, MI 48198-5734 - Phone
- (734) 483-1000
- Fax
- (734) 483-1010
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017146 | MI | Primary |
Addresses
Primary practice location
340 Ecorse Rd
Ypsilanti, MI 48198-5734
Mailing address
340 Ecorse Rd
Ypsilanti, MI 48198-5734
Phone (734) 483-1000
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 |
|---|---|---|---|
| 5501017146 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1073976965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 ECORSE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985734",
"telephone_number": "734-483-1000",
"fax_number": "734-483-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 ECORSE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985734",
"telephone_number": "734-483-1000",
"fax_number": "734-483-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRUNALKUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.