Priyank Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02264500 Issued in NJ

Practice address

3562 NJ-27
Unit 124
Kendall Park, NJ 08824

Phone

(732) 853-8177

NPI assigned

Jul 26, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy and Fitness Center IncGroup PAC ID 1456504331, 14 clinicians

Innovative Physical Therapy CenterGroup PAC ID 4183140874, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Physical Therapy and Fitness Center Inc

  • Physical Therapy Clinic/Center
  • Kendall Park, NJ
  • NPI 1740548742

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy Center

  dba Innovative Physical Therapy and Fitness Center

  • Physical Therapist
  • Monroe, NJ
  • NPI 1497562961
  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy and Fitness Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
  • NPI 1184205072

  Physical Therapist

  NPD

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1093543308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 NJ-27",
            "address_2": "UNIT 124",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-853-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 NJ-27",
            "address_2": "UNIT 124",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-853-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02264500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A. Parker, M.D.
• Jigna B Patel, OD
• Nileshkumar J Patel, MD
• Nilima Patel
• Parth R. Patel, DMD
• Robert B Patel, MD
• Seema Ashvin Patel, D.D.S.
• Sejal Patel, RD
• Shivani Naresh Patel, DO
• Vijal Patel, PA

• Physical Therapist in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.