Active NPI
Ripple Patel, P.T.
- Physical Therapist
- Bloomingdale, IL
National Provider Identifier
1194914341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016059
- Practice address
- 473 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2674 - Phone
- (630) 295-9900
- Fax
- (630) 295-9909
- NPI assigned
- Oct 23, 2007
- 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 | 070016059 | IL | Primary |
Addresses
Primary practice location
473 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2674
Mailing address
3900 W 95TH St
Suite 7
Evergreen Park, IL 60805-1922
Phone (708) 423-7799
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 |
|---|---|---|---|
| 070016059 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Evergreen Park, IL
- NPI 1336127117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1194914341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W 95TH ST",
"address_2": "SUITE 7",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608051922",
"telephone_number": "708-423-7799",
"fax_number": "708-423-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD",
"address_2": "SUITE 103",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-295-9900",
"fax_number": "630-295-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RIPPLE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.