Active NPI
Piyush Parshottambhai Patel, RPT
- Physical Therapist
- Lake City, MI
National Provider Identifier
1144510090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015278
- Practice address
- 997 S Lakeshore Dr
Lake City, MI 49651-8750 - Phone
- (231) 839-8888
- Fax
- (231) 894-8158
- NPI assigned
- Apr 12, 2011
- 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 | 5501015278 | MI | Primary |
Addresses
Primary practice location
997 S Lakeshore Dr
Lake City, MI 49651-8750
Mailing address
555 S Mission St
Mount Pleasant, MI 48858-2846
Phone (989) 772-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501015278 | Other | MI | STATE OF MI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015278 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Spine Sports & Pain, PLLC | 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.
-
- Physical Medicine & Rehabilitation Physician
- Mt Pleasant, MI
- NPI 1780691808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1144510090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S MISSION ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582846",
"telephone_number": "989-772-7755",
"fax_number": "989-772-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 S LAKESHORE DR",
"city": "LAKE CITY",
"state": "MI",
"postal_code": "496518750",
"telephone_number": "231-839-8888",
"fax_number": "231-894-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PIYUSH",
"middle_name": "PARSHOTTAMBHAI",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MI",
"identifier": "5501015278",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.