Aditiben Kanubhai Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01955200 Issued in NJ

Practice address

1034 Maple Ave
Ridgefield, NJ 07657-1009

Phone

(551) 216-1121

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment NPD
• Niramaya Mobile PT & Wellness LLC

  • Physical Therapist
  • Ridgefield, NJ
  • NPI 1437078797
  NPD (past) Authorized official

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1184226243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAPLE AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571009",
            "telephone_number": "551-216-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAPLE AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571009",
            "telephone_number": "551-216-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ADITIBEN",
        "middle_name": "KANUBHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01955200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palisades Park Pain & Rehabilitation Medicine, PA
• Park Dental Arts, LLC
• Park Dental Associates, Inc
• Wonil Park, M.D.
• Partners Medical Supplies Inc.
• Path to Peace Counseling LLC
• Pediatric Speech Solutions
• Diana Pelaez
• Anjelice Piper, M.A., BCBA
• Joseph John Portale, DMD

• Physical Therapist in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.