Active NPI
Shradhdhey K. Patel, B.P.T./R.P.T.
- Physical Therapist
- Ludington, MI
National Provider Identifier
1104915610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012531
- Practice address
- 5511 W US Highway 10
Ludington, MI 49431-2455 - Phone
- (989) 560-7591
- NPI assigned
- Oct 12, 2006
- 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 | 5501012531 | MI | Primary |
Addresses
Primary practice location
5511 W US Highway 10
Ludington, MI 49431-2455
Mailing address
5511 W US Highway 10
Ludington, MI 49431-2455
Phone (989) 560-7591
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 |
|---|---|---|---|
| 5501012531 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Rehabilitation Services Inc | Physical Therapist | Past | Accepting new patients |
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.
-
dba Nustep Physical Therapy Center
- Physical Therapy Clinic/Center
- Ludington, MI
- NPI 1730283920
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104915610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 W US HIGHWAY 10",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312455",
"telephone_number": "989-560-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 W US HIGHWAY 10",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312455",
"telephone_number": "989-560-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHRADHDHEY",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "B.P.T./R.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.