Individual provider Active NPI

Nima Patel, PT DPT

  • Physical Therapist
  • Old Bridge, NJ
National Provider Identifier
1205997731
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01227800 Issued in NJ
Practice address
1447 Route 18 Ste 3
Old Bridge, NJ 08857-3797
Phone
(908) 227-4927
Fax
(732) 372-4285
NPI assigned
Dec 12, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01227800 NJ Primary

Addresses

Primary practice location

1447 Route 18 Ste 3
Old Bridge, NJ 08857-3797

Mailing address

1447 Route 18 Ste 3
Old Bridge, NJ 08857-3797
Phone (908) 227-4927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000329 NJ Practitioner - Physical Therapist in Private Practice 3072667898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

140 N Rte
17 Suite 272
Paramus, NJ 07652-2800
Phone (201) 261-4343

197 Ridgedale Ave
Suite 155
Cedar Knolls, NJ 07927-2111
Phone (973) 605-5115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01227800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Sep 3, 2022 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Sep 3, 2022 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Feb 12, 2022 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Feb 12, 2022 Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

197 Ridgedale Ave
Ste 155
Cedar Knolls, NJ 07927
Phone (973) 605-5115

3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1205997731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18 STE 3",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573797",
            "telephone_number": "908-227-4927",
            "fax_number": "732-372-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18 STE 3",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573797",
            "telephone_number": "908-227-4927",
            "fax_number": "732-372-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01227800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.