Individual provider Active NPI

Nisuki Patel, MSOT

  • Occupational Therapist
  • Levittown, PA
National Provider Identifier
1245643790
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012688 Issued in PA
Practice address
1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone
(610) 836-2764
NPI assigned
Jun 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00582200 NJ
Occupational Therapist 225X00000X OC012688 PA Primary

Addresses

Primary practice location

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538

Mailing address

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone (610) 836-2449

Other identifiers 1

IdentifierTypeStateIssuer
103100791MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106000705 PA Practitioner - Occupational Therapist in Private Practice 1850644030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiomove LLCGroup PAC ID 4183854888, 3 clinicians

Practice addresses (Care Compare)

1609 Woodbourne Rd
Suite 203B
Levittown, PA 19057-1538
Phone (215) 945-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00582200NJMDOccupational Therapist
OC012688PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiomove LLC CurrentSince Jan 25, 2026 Accepting new patients
Bensalem Rehabilitation Services Occupational Therapist Current Accepting new patients

Locations

2776 Knights Rd
Bensalem, PA 19020
Phone (215) 639-1304

2776 Knights Rd
Ste 11
Bensalem, PA 19020

1609 Woodbourne Rd
Ste 203B
Levittown, PA 19057
Phone (215) 269-0400

Organizations & group practices 3

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245643790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "610-836-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "610-836-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISUKI",
        "name_prefix": "Mrs.",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00582200",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103100791",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.