Active NPI
Vaishali Patel, PT
- Physical Therapist
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21919
- Practice address
- 510 Timber Dr E Ste 102
Garner, NC 27529-5285 - Phone
- (919) 500-5003
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003562 | DE | |
| Physical Therapist | 225100000X | 296098 | CA | |
| Physical Therapist | 225100000X | P21919 | NC | Primary |
Addresses
Primary practice location
510 Timber Dr E Ste 102
Garner, NC 27529-5285
Mailing address
3911 N Washington St
Wilmington, DE 19802-2147
Phone (302) 764-8192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
Practice addresses (Care Compare)
166 Springbrook Ave
Suite 201
Clayton, NC 27520-8520
Phone (919) 535-8461
3100 NC 55 Hwy
Suite 101
Cary, NC 27519-8427
Phone (919) 290-2799
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296098 | CA | MD | Physical Therapist |
| J1-0003562 | DE | MD | Physical Therapist |
| P21919 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Metrolina Nephrology Associates, PA | Past | Accepting new patients | |
| Golden Hills Orthopedic and Sports Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
510 Timber Dr E
Ste 102
Garner, NC 27529
Phone (919) 500-5003
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
9936 Chapel Hill Rd
Morrisville, NC 27560
Phone (919) 296-0895
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
Interoperability endpoints
- vaishali.patel.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
- Nephrology Physician
- Charlotte, NC
- NPI 1083664189
-
- Physical Therapist
- Milpitas, CA
- NPI 1750040895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1104377720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022147",
"telephone_number": "302-764-8192",
"fax_number": "302-764-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 TIMBER DR E STE 102",
"city": "GARNER",
"state": "NC",
"postal_code": "275295285",
"telephone_number": "919-500-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VAISHALI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003562",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296098",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.