Sandipkumar I. Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012385 Issued in MI

Practice address

1721 Osprey Point Cir
Pooler, GA 31322-2158

Phone

(248) 412-3450

NPI assigned

Jun 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Sunrise Physical Therapy LLC

  • Physical Therapist
  • Rincon, GA
  • NPI 1396446910
  NPD Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1205095650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 OSPREY POINT CIR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222158",
            "telephone_number": "248-412-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANDIPKUMAR",
        "middle_name": "I.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "921984871",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dimple Jayantilal Patel, DMD
• Krupali Patel, RPH
• Misal Minesh Patel, MD
• Monali Patel, OD
• Sagar Pravin Patel, MD
• Shital Patel, M.D.
• Trupti Patel
• Kelly Paul, CCC-SLP
• Kasharia Paulk
• Pavan Putra Investment Group LLC

• Physical Therapist in Pooler, GA
• Providers in Pooler, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.