Individual provider Active NPI

Denil J Patel, P.T

  • Orthopedic Physical Therapist
  • Rego Park, NY
National Provider Identifier
1174920839
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
037044 Issued in NY
Practice address
6433 98TH St
Rego Park, NY 11374-3321
Phone
(718) 606-6000
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X
Geriatric Physical Therapist 2251G0304X
Orthopedic Physical Therapist 2251X0800X 037044 NY Primary

Addresses

Primary practice location

6433 98TH St
Rego Park, NY 11374-3321

Mailing address

6433 98TH St
Rego Park, NY 11374-3321
Phone (718) 606-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000946 TX Practitioner - Physical Therapist in Private Practice 0648584938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Therapy, PCGroup PAC ID 6507831773, 14 clinicians

Practice addresses (Care Compare)

415 W Wheatland Rd
Suite 102
Duncanville, TX 75116-4619
Phone (979) 296-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037044NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy PC CurrentSince Dec 31, 2021 Accepting new patients
Advance Therapy PC Electrophysiology, Clinical CurrentSince Feb 16, 2021 Accepting new patients
Lone Star Medlab Laboratory LLC PastSince Aug 1, 2022 Accepting new patients

Locations

3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958

415 W Wheatland Rd
#102
Duncanville, TX 75116
Phone (972) 296-1808

1110 Cottonwood Ln
Ste 100
Irving, TX 75038
Phone (972) 943-9779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1174920839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "718-606-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "718-606-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DENIL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "037044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.