Active NPI
Dharmesh S Patel, PT
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1124091525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28814
- Practice address
- 2100 N Arrowhead Ave
San Bernardino, CA 92405-4002 - Phone
- (909) 882-9822
- Fax
- (909) 882-1388
- NPI assigned
- Feb 8, 2006
- 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 | PT28814 | CA | Primary |
Addresses
Primary practice location
2100 N Arrowhead Ave
San Bernardino, CA 92405-4002
Mailing address
2100 N Arrowhead Ave
San Bernardino, CA 92405-4002
Phone (909) 882-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 N Arrowhead Ave
San Bernardino, CA 92405-4002
Phone (909) 882-9822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28814 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isha Inc | Physical Therapist | Current | Accepting new patients |
| Isha Inc | Physical Therapist | Current | Accepting new patients |
| West Star Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Cornerstone Medical Group, Inc. | Past | Accepting new patients |
Locations
24557 University Ave
Loma Linda, CA 92354
Phone (909) 801-7060
2100 N Arrowhead Ave
Sn Bernrdno, CA 92405
Phone (909) 882-9822
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Physical Therapist
- San Bernardino, CA
- NPI 1225139165
-
- Physical Therapist
- Loma Linda, CA
- NPI 1013339928
-
- Physical Medicine & Rehabilitation Physician
- San Bernardino, CA
- NPI 1447343223
-
- Physical Therapist
- Garden Grove, CA
- NPI 1376764571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1124091525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N ARROWHEAD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054002",
"telephone_number": "909-882-9822",
"fax_number": "909-882-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N ARROWHEAD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054002",
"telephone_number": "909-882-9822",
"fax_number": "909-882-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARMESH",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.