Active NPI
Ankur A Patel, RPT
- Physical Therapist
- Canton, MI
National Provider Identifier
1093039646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013287
- Practice address
- 6149 Meadowview Dr
Canton, MI 48187-4749 - Phone
- (734) 709-5361
- Fax
- (734) 786-3535
- NPI assigned
- Mar 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501013287 | MI | Primary |
Addresses
Primary practice location
6149 Meadowview Dr
Canton, MI 48187-4749
Mailing address
6149 Meadowview Dr
Canton, MI 48187-4749
Phone (734) 709-5361
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013287 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1093039646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6149 MEADOWVIEW DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481874749",
"telephone_number": "734-709-5361",
"fax_number": "734-786-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 MEADOWVIEW DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481874749",
"telephone_number": "734-709-5361",
"fax_number": "734-786-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANKUR",
"middle_name": "A",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.