Individual provider Active NPI

Kavita Patel

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1245923432
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02219900 Issued in NJ
Practice address
805 Cooper Rd Ste 6
Voorhees, NJ 08043-3814
Phone
(856) 352-5352
NPI assigned
Jun 1, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE013371 PA
Physical Therapist 225100000X 40QA02219900 NJ Primary

Addresses

Primary practice location

805 Cooper Rd Ste 6
Voorhees, NJ 08043-3814

Mailing address

805 Cooper Rd Ste 6
Voorhees, NJ 08043-3814
Phone (856) 352-5253

Other practice location 1

709 N 2nd St Ste 200
Philadelphia, PA 19123-3108
Phone (267) 529-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000136 NJ Practitioner - Physical Therapist in Private Practice 0941653513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 Cooper Rd
Suite 6
Voorhees, NJ 08043-3814
Phone (609) 906-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TE013371PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Physical Therapy & Wellness LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist PastSince Jun 1, 2023 Accepting new patients

Locations

805 Cooper Rd
Ste 6
Voorhees, NJ 08043
Phone (856) 352-5352

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

709 N 2nd St
Ste 200
Philadelphia, PA 19123
Phone (267) 529-0080

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1245923432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COOPER RD STE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433814",
            "telephone_number": "856-352-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COOPER RD STE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433814",
            "telephone_number": "856-352-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N 2nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233108",
            "country_code": "US",
            "telephone_number": "267-529-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAVITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE013371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02219900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.