Individual provider Active NPI

Naineshkumar Jayantilal Patel, PT

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1174773162
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27814 Issued in FL
Practice address
1026 Albee Farm Rd
Venice, FL 34285-6213
Phone
(941) 284-7106
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030564 NY
Physical Therapist 225100000X PT 27814 FL Primary

Addresses

Primary practice location

1026 Albee Farm Rd
Venice, FL 34285-6213

Mailing address

1026 Albee Farm Rd
Venice, FL 34285-6213
Phone (941) 284-7106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000413 FL Practitioner - Physical Therapist in Private Practice 0648332502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Associates of Orange Park, IncGroup PAC ID 0042287237, 2 clinicians

Practice addresses (Care Compare)

1845 Eastwest Pkwy
Suite 14And15
Fleming Island, FL 32003-6405
Phone (904) 264-6304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 27814FLMDPhysical Therapist
030564NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Orange Park, Inc Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Physical Therapy Associates of Orange Park, Inc CurrentSince Jan 22, 2023 Accepting new patients
G. F.G Medical, P.C PastSince Oct 1, 1997 Accepting new patients
N.R. Medical, P.C Past Accepting new patients
Doctors United, Inc PastSince Oct 1, 1997 Accepting new patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist PastSince Mar 1, 2012 Accepting new patients

Locations

1845 Eastwest Pkwy
Ste 1415
Fleming Isle, FL 32003
Phone (904) 264-6301

151 College Dr
Ste 10
Orange Park, FL 32065
Phone (904) 264-6304

Organizations & group practices 6

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1174773162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-284-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-284-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NAINESHKUMAR",
        "middle_name": "JAYANTILAL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030564",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 27814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.