Individual provider Active NPI

Avnee Maganlal Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • Metuchen, NJ
National Provider Identifier
1164655577
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTQA00948200 Issued in NJ
Practice address
33 Clarendon CT
Metuchen, NJ 08840-1504
Phone
(732) 306-9201
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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 PTQA00948200 NJ Primary

Addresses

Primary practice location

33 Clarendon CT
Metuchen, NJ 08840-1504

Mailing address

33 Clarendon CT
Metuchen, NJ 08840-1504
Phone (732) 906-8147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000422 NJ Practitioner - Physical Therapist in Private Practice 8527105543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading RehabilitationGroup PAC ID 5799076287, 5 clinicians

Practice addresses (Care Compare)

45 Bridge St
Metuchen, NJ 08840-2278
Phone (732) 662-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTQA00948200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Rehabilitation Physical Therapist CurrentSince Apr 13, 2016 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Feb 15, 2025 Accepting new patients
Broadway Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

45 Bridge St
Metuchen, NJ 08840
Phone (732) 662-1800

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1164655577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLARENDON CT",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401504",
            "telephone_number": "732-906-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLARENDON CT",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401504",
            "telephone_number": "732-306-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVNEE",
        "middle_name": "MAGANLAL",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PTQA00948200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.