Active NPI
Ronak Patel
- Physical Therapist
- Springfield, IL
National Provider Identifier
1154853935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.021399
- Practice address
- 7404 Wentworth Dr
Springfield, IL 62711-7084 - Phone
- (214) 597-0446
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.021399 | IL | Primary |
| Physical Therapist | 225100000X | 037524 | NY |
Addresses
Primary practice location
7404 Wentworth Dr
Springfield, IL 62711-7084
Mailing address
7404 Wentworth Dr
Springfield, IL 62711-7084
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 |
|---|---|---|---|
| 070.021399 | IL | MD | Physical Therapist |
| 037524 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1154853935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7404 WENTWORTH DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7404 WENTWORTH DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117084",
"telephone_number": "214-597-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RONAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.021399",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.