Individual provider Active NPI

Kavita Patel, DPT

  • Orthopedic Physical Therapist
  • Souderton, PA
National Provider Identifier
1174913867
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT023557 Issued in PA
Practice address
723 Route 113
Suite #6
Souderton, PA 18964-1000
Phone
(215) 538-1999
Fax
(267) 382-0088
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT023557 PA Primary

Addresses

Primary practice location

723 Route 113
Suite #6
Souderton, PA 18964-1000

Mailing address

723 Route 113
Suite #6
Souderton, PA 18964-1000
Phone (215) 538-1999

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023557PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parry PT LLC CurrentSince Jan 13, 2022 Accepting new patients
Industry Health Solutions, Inc Orthopedic PastSince Jan 27, 2015 Accepting new patients

Locations

608 E Main St
Lansdale, PA 19446
Phone (215) 538-1999

723 Route 113
Ste 6
Souderton, PA 18964
Phone (215) 538-1999

Organizations & group practices 2

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1174913867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 ROUTE 113",
            "address_2": "SUITE #6",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-538-1999",
            "fax_number": "267-382-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 ROUTE 113",
            "address_2": "SUITE #6",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-538-1999",
            "fax_number": "267-382-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAVITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT023557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.