Active NPI
Minal D Patel, D.P.T
- Physical Therapist
- Deer Park, TX
National Provider Identifier
1174962526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3113700
- Practice address
- 3710 Center St
Suite 102
Deer Park, TX 77536-6104 - Phone
- (281) 476-5800
- Fax
- (281) 476-5801
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3113700 | TX | Primary |
Addresses
Primary practice location
3710 Center St
Suite 102
Deer Park, TX 77536-6104
Mailing address
335 Roselane St NW
Suite 201
Marietta, GA 30060-7902
Phone (470) 259-5226
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3113700 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1174962526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 ROSELANE ST NW",
"address_2": "SUITE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607902",
"telephone_number": "470-259-5226",
"fax_number": "267-321-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 CENTER ST",
"address_2": "SUITE 102",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775366104",
"telephone_number": "281-476-5800",
"fax_number": "281-476-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MINAL",
"middle_name": "D",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3113700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.