Active NPI
Mansi A Patel, DPT
- Physical Therapist
- Randolph, NJ
National Provider Identifier
1275778409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01183000
- Practice address
- 16 Old Brookside Rd Ste 7
Randolph, NJ 07869-3621 - Phone
- (908) 955-3052
- Fax
- (908) 952-2014
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01183000 | NJ | Primary |
Addresses
Primary practice location
16 Old Brookside Rd Ste 7
Randolph, NJ 07869-3621
Mailing address
16 Old Brookside Rd Ste 7
Randolph, NJ 07869-3621
Phone (908) 955-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 Arrowgate Dr
Randolph, NJ 07869-1262
Phone (908) 955-3052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Physical Therapy | Current | Accepting new patients |
Locations
765 State Route 10
Ste 106
Randolph, NJ 07869
Phone (973) 895-2003
16 Old Brookside Rd
Ste 7
Randolph, NJ 07869
Phone (908) 955-3052
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Randolph, NJ
- NPI 1023360740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1275778409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OLD BROOKSIDE RD STE 7",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078693621",
"telephone_number": "908-955-3052",
"fax_number": "908-952-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OLD BROOKSIDE RD STE 7",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078693621",
"telephone_number": "908-955-3052",
"fax_number": "908-952-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANSI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01183000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.