Active NPI
Naineshkumar Jayantilal Patel, PT
- Physical Therapist
- Venice, FL
National Provider Identifier
1174773162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27814
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27814 | FL | MD | Physical Therapist |
| 030564 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Orange Park, Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Orange Park, Inc | Current | Accepting new patients | |
| G. F.G Medical, P.C | Past | Accepting new patients | |
| N.R. Medical, P.C | Past | Accepting new patients | |
| Doctors United, Inc | Past | Accepting new patients | |
| Greater New York Physical Therapy and Chiropractic PLLC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Fleming Island, FL
- NPI 1508883018
Physical Therapist
-
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1417662875
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1053325894
-
- Physical Therapist
- White Plains, NY
- NPI 1093094047
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1912926007
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.