Individual provider Active NPI

Payal Patel

  • Physical Therapist
  • Princeton, TX
National Provider Identifier
1245981281
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1386122 Issued in TX
Practice address
200 Beauchamp Ste 112
Princeton, TX 75407-9157
Phone
(469) 378-3464
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047980 NY
Physical Therapist 225100000X 1386122 TX Primary

Addresses

Primary practice location

200 Beauchamp Ste 112
Princeton, TX 75407-9157

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

3648 Broadway
New York, NY 10031-2520
Phone (212) 281-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220614002648 NY Practitioner - Physical Therapist in Private Practice 2062891542 Reassigns benefits to 1 organization
I20240604003800 TX Practitioner - Physical Therapist in Private Practice 2062891542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

2100 W White St
Suite 290
Anna, TX 75409-5180
Phone (469) 269-5732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047980NYMDDentist
1386122TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 28, 2025 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600

2100 W White St
Ste 290
Anna, TX 75409
Phone (469) 269-5732

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

475 Elm St
Ste 200
Lewisville, TX 75057
Phone (945) 212-0050

200 Beauchamp
Ste 112
Princeton, TX 75407
Phone (469) 378-3464

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1245981281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAUCHAMP STE 112",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754079157",
            "telephone_number": "469-378-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3648 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100312520",
            "country_code": "US",
            "telephone_number": "212-281-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047980",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1386122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.