Individual provider Active NPI

Priyanka Amin, PT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1124632278
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1330351 Issued in TX
Practice address
1921 S Mason Rd
Katy, TX 77450-6258
Phone
(281) 394-4591
Fax
(346) 888-0981
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1330351 TX
Physical Therapist 225100000X 1330351 TX Primary

Addresses

Primary practice location

1921 S Mason Rd
Katy, TX 77450-6258

Mailing address

20203 Peralta Cliff TRL
Richmond, TX 77407-2065
Phone (484) 753-9676

Other names 1

  • Priyankaben Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304002366 TX Practitioner - Physical Therapist in Private Practice 3072929637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

20302 Bulverde Rd
San Antonio, TX 78259-3333
Phone (210) 497-6703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1330351TXMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

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.

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1124632278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20203 PERALTA CLIFF TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072065",
            "telephone_number": "484-753-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506258",
            "telephone_number": "281-394-4591",
            "fax_number": "346-888-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "PRIYANKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1330351",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1330351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYANKABEN",
            "last_name": "PATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.