Individual provider Active NPI

Ulka D Patel, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1265759369
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009823-1 Issued in NY
Practice address
774 Manor Rd
Suite 209
Staten Island, NY 10314-7038
Phone
(718) 494-8595
Fax
(718) 494-0191
NPI assigned
Apr 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 009823-1 NY Primary

Addresses

Primary practice location

774 Manor Rd
Suite 209
Staten Island, NY 10314-7038

Mailing address

774 Manor Rd
Suite 209
Staten Island, NY 10314-7038
Phone (718) 494-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009823-1NYMDPhysical Therapist
009823NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc Past Accepting new patients
Millan Physical Therapy Rehabilitation, P.C. Physical Therapist Past Accepting new patients
Welllife Network Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1265759369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 209",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "718-494-8595",
            "fax_number": "718-494-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 209",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "718-494-8595",
            "fax_number": "718-494-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ULKA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.