Active NPI
Kinjal Jaymin Desai, PT
- Physical Medicine & Rehabilitation Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1354983
- Practice address
- 19300 Broad Shore Walk
Loxahatchee, FL 33470-2106 - Phone
- (561) 697-8800
- Fax
- (561) 697-3372
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32576 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1354983 | TX | Primary |
Addresses
Primary practice location
19300 Broad Shore Walk
Loxahatchee, FL 33470-2106
Mailing address
753 Summerfield Dr
Allen, TX 75002-1821
Phone (561) 697-8800
Other practice location 1
5550 Warren Pkwy Ste 230
Frisco, TX 75034-7330
Phone (469) 598-2760
Other practice location 2
149 SH 121
Suite 115
Coppell, TX 75019
Phone (469) 850-0680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4205 W Northwest Hwy
Parsons House Preston Hollow
Dallas, TX 75220-7802
Phone (469) 489-1536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32576 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153
2760 W Walker St
League City, TX 77573
Phone (281) 967-7973
2022 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1255860748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 SUMMERFIELD DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750021821",
"telephone_number": "561-697-8800",
"fax_number": "561-697-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 BROAD SHORE WALK",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702106",
"telephone_number": "561-697-8800",
"fax_number": "561-697-3372"
}
],
"practiceLocations": [
{
"address_1": "5550 Warren Pkwy Ste 230",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750347330",
"country_code": "US",
"telephone_number": "469-598-2760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "149 SH 121",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "75019",
"country_code": "US",
"telephone_number": "469-850-0680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "KINJAL",
"middle_name": "JAYMIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2021-12-06",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32576",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1354983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.