Active NPI
Samir Jitendrabhai Patel, PT
- Physical Therapist
- Flushing, NY
National Provider Identifier
1225971393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 055831
- Practice address
- 13618 39TH Ave Ste 704
Flushing, NY 11354-5583 - Phone
- (917) 602-5414
- NPI assigned
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 055831 | NY | Primary |
Addresses
Primary practice location
13618 39TH Ave Ste 704
Flushing, NY 11354-5583
Mailing address
4249 Colden St Apt 5M
Flushing, NY 11355-3908
Phone (917) 602-5414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055831 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1225971393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4249 COLDEN ST APT 5M",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553908",
"telephone_number": "917-602-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13618 39TH AVE STE 704",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545583",
"telephone_number": "917-602-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAMIR",
"middle_name": "JITENDRABHAI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-13",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "055831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.