Ami Pankaj Patel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7833 Issued in SC

Practice address

4237 River Hills Dr
Suite 120
Little River, SC 29566-6444

Phone

(843) 249-5616

Fax

(843) 249-1843

NPI assigned

Sep 26, 2006

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1144321381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR",
            "address_2": "SUITE 120",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666444",
            "telephone_number": "843-249-5616",
            "fax_number": "843-249-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMI",
        "middle_name": "PANKAJ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5398",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocholo Lawsin Palacio, PT
• Palmetto Care Health and Mental Wellness LLC
• Palmetto Dental Associates
• Palmetto Sleep Lab LLC
• Ritwick Panicker, M.D.
• Niyanta Himanshu Patel, MD
• Emanuela Pavliqoti, MD
• Jodi S Peavy, LISW-CP
• Paul Percelay, MD
• Kristen M Perez, COTA/L

• Physical Therapist in Little River, SC
• Providers in Little River, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.