Individual provider Active NPI

Jay M Patel, PT

  • Physical Therapist
  • Levittown, PA
National Provider Identifier
1124392931
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022501 Issued in PA
Practice address
1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone
(610) 836-2674
Fax
(215) 945-0103
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 PT022501 PA Primary

Addresses

Primary practice location

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538

Mailing address

822 W Maple Ave
Langhorne, PA 19047-2665
Phone (610) 836-2674

Other identifiers 1

IdentifierTypeStateIssuer
102866966MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140225001056 PA Practitioner - Physical Therapist in Private Practice 6103085055 Reassigns benefits to 1 organization
I20241111002385 NJ Practitioner - Physical Therapist in Private Practice 6103085055

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiomove LLCGroup PAC ID 4183854888, 3 clinicians

Practice addresses (Care Compare)

1609 Woodbourne Rd
Suite 203B
Levittown, PA 19057-1538
Phone (215) 945-0100

2776 Knight Rd
Bensalem, PA 19020-3569
Phone 26762711303569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022501PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiomove Physical Therapy NJ Physical Therapist CurrentSince Oct 23, 2024 Accepting new patients
Physiomove LLC CurrentSince Jul 24, 2022 Accepting new patients
Physiomove LLC CurrentSince Nov 20, 2013 Accepting new patients
La Fortaleza Physical Therapy Inc Physical Therapist PastSince Feb 24, 2014 Accepting new patients
University Orthopaedics, PC Past Accepting new patients

Locations

2277 Route 33
Ste 409
Trenton, NJ 08690
Phone (215) 945-0100

2776 Knights Rd
Bensalem, PA 19020
Phone (215) 633-8240

1609 Woodbourne Rd
Ste 203B
Levittown, PA 19057
Phone (215) 269-0400

Organizations & group practices 5

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124392931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W MAPLE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472665",
            "telephone_number": "610-836-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "610-836-2674",
            "fax_number": "215-945-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102866966",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

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