Individual provider Active NPI

Nita Patel, OT

  • Occupational Therapist
  • Rockford, IL
National Provider Identifier
1194048041
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005201 Issued in IL
Practice address
960 Tulip LN Apt 4
Rockford, IL 61107-5738
Phone
(815) 397-5605
NPI assigned
Mar 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056005201 IL Primary

Addresses

Primary practice location

960 Tulip LN Apt 4
Rockford, IL 61107-5738

Mailing address

960 Tulip LN Apt 4
Rockford, IL 61107-5738
Phone (815) 397-5605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315002435 IL Practitioner - Occupational Therapist in Private Practice 5890057574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
18.33
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056005201ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Rehabmedicine SC CurrentSince Mar 4, 2024 Accepting new patients

Locations

345 Executive Pkwy
Ste M4
Rockford, IL 61107
Phone (815) 399-1141

4225 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (224) 456-6662

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": "1267920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1194048041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 TULIP LN APT 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075738",
            "telephone_number": "815-397-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 TULIP LN APT 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075738",
            "telephone_number": "815-397-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NITA",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; 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.