Individual provider Active NPI

Palak Patel, DPT

  • Physical Therapist
  • Union, NJ
National Provider Identifier
1285125252
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01789100 Issued in NJ
Practice address
2360 Morris Ave
Union, NJ 07083-5707
Phone
(908) 206-1700
NPI assigned
May 24, 2018
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01789100 NJ
Physical Therapist 225100000X 40QA01789100 NJ Primary

Addresses

Primary practice location

2360 Morris Ave
Union, NJ 07083-5707

Mailing address

2360 Morris Ave
Union, NJ 07083-5707
Phone (908) 206-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702001374 NJ Practitioner - Physical Therapist in Private Practice 7012263254 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01789100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2020 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2021 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 1, 2020 Accepting new patients
Twin Boro Physical Therapy Associates, PA PastSince Jun 22, 2021 Accepting new patients

Locations

909 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-6981

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

991 Route 22
Bridgewater, NJ 08807
Phone (908) 628-0126

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

68 River Rd
Summit, NJ 07901
Phone (908) 277-0800

2360 Morris Ave
Union, NJ 07083
Phone (908) 206-1700

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 6

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1285125252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835707",
            "telephone_number": "908-206-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835707",
            "telephone_number": "908-206-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PALAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01789100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01789100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.