Kavita V Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206338 Issued in VA

Practice address

2305 Swift Bluff Dr
Colonial Heights, VA 23834-5366

Phone

(804) 536-4412

NPI assigned

Apr 10, 2008

Last updated

Aug 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kavita M Mandviwala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1255504221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SWIFT BLUFF DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345366",
            "telephone_number": "804-536-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SWIFT BLUFF DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345366",
            "telephone_number": "804-536-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAVITA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "MANDVIWALA",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Marie Panzarella, MD
• Monrelle Inez Parrish
• Partners in Family Medicine
• Partners in Family Practice LLC (Partners In Family Medicine)
• Karishma Amit Patel
• Switu Patel
• Vaishali Patel, DDS
• Vinay Bhanubhai Patel, PTA
• Patient First Richmond Medical Group
• Patient First Richmond Medical Group PLLC (Patient First - Colonial Heights)

• Physical Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.