Individual provider Active NPI

Neepaben C Patel

  • Physical Therapist
  • Henrico, VA
National Provider Identifier
1093378028
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212424 Issued in VA
Practice address
2620 A Gaskins Rd
Henrico, VA 23238
Phone
(804) 396-6753
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212424 VA Primary

Addresses

Primary practice location

2620 A Gaskins Rd
Henrico, VA 23238

Mailing address

4504 Stable Brook LN
Glen Allen, VA 23060-6029
Phone (804) 868-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@rvaphysicaltherapy.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027000391 VA Practitioner - Physical Therapist in Private Practice 2466872734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rva Physical Therapyand Sports Rehab, LLCGroup PAC ID 0941517049, 5 clinicians

Practice addresses (Care Compare)

2620 Gaskins Rd
Suite a
Henrico, VA 23238-1402
Phone (804) 396-6753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212424VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rva Physical Therapy& Sports Rehab, LLC Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients

Locations

2620 Gaskins Rd
#A
Henrico, VA 23238
Phone (804) 396-6753

107 Heaths Way Rd
Midlothian, VA 23114
Phone (804) 396-6753

Organizations & group practices 1

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1093378028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 STABLE BROOK LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606029",
            "telephone_number": "804-868-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 A GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-396-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEEPABEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rvaphysicaltherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "804-3966753",
            "address_1": "2620 A Gaskins Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.