Individual provider Active NPI

Dhara Ketulkumar Patel, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1255293312
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407696 Issued in TX
Practice address
5770 N Mopac Expy Ste 150
Austin, TX 78731-4236
Phone
(512) 642-5599
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 1407696 TX Primary

Addresses

Primary practice location

5770 N Mopac Expy Ste 150
Austin, TX 78731-4236

Mailing address

5770 N Mopac Expy Ste 150
Austin, TX 78731-4236
Phone (512) 642-5599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109001254 TX Practitioner - Physical Therapist in Private Practice 7719463744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
GX2 Ventures LLCGroup PAC ID 4880058759, 4 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

5770 N Mopac Expy
Suite 150
Austin, TX 78731-4236
Phone (512) 642-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407696TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
GX2 Ventures LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

5770 N Mopac Expy
Ste 150
Austin, TX 78731
Phone (512) 642-5599

1607 Ranch Road 620 N
Ste 500
Lakeway, TX 78734
Phone (737) 243-1600

Organizations & group practices 2

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": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1255293312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314236",
            "telephone_number": "512-642-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314236",
            "telephone_number": "512-642-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARA  KETULKUMAR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

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