Individual provider Active NPI

Ravi Madhusudan Patel, PT

  • Physical Therapist
  • East Windsor, NJ
National Provider Identifier
1275957961
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02238400 Issued in NJ
Practice address
104 Hickory Corner Rd Ste 205
East Windsor, NJ 08520-2460
Phone
(609) 630-0508
Fax
(609) 606-7845
NPI assigned
Feb 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 40QA02238400 NJ Primary

Addresses

Primary practice location

104 Hickory Corner Rd Ste 205
East Windsor, NJ 08520-2460

Mailing address

104 Hickory Corner Rd Ste 205
East Windsor, NJ 08520-2460
Phone (609) 630-0508

Other names 1

  • Patel Ravikumar Madhusudan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000072 NJ Practitioner - Physical Therapist in Private Practice 1153631593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatswami LLCGroup PAC ID 6901338201, 2 clinicians

Practice addresses (Care Compare)

104 Hickory Corner Rd
Suite 205
East Windsor, NJ 08520-2460
Phone (609) 630-0508

147 Andover PL
Robbinsville, NJ 08691-3416
Phone (609) 630-0508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02238400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manatswami LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Orthonj LLC CurrentSince Apr 22, 2024 Accepting new patients
Orthonj LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

104 Hickory Corner Rd
Ste 205
East Windsor, NJ 08520
Phone (609) 630-0508

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

1 Union St
Ste 305
Robbinsville, NJ 08691
Phone 6099248131 ext. 4232

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, 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": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1275957961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HICKORY CORNER RD STE 205",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202460",
            "telephone_number": "609-630-0508",
            "fax_number": "609-606-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HICKORY CORNER RD STE 205",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202460",
            "telephone_number": "609-630-0508",
            "fax_number": "609-606-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVI",
        "middle_name": "MADHUSUDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02238400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATEL",
            "last_name": "MADHUSUDAN",
            "middle_name": "RAVIKUMAR",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.