Active NPI
Shila Patel
- Physical Therapist
- Cheshire, CT
National Provider Identifier
1306232293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10275
- Practice address
- 680 S Main St
Suite 102
Cheshire, CT 06410-3181 - Phone
- (203) 272-3120
- Fax
- (203) 272-3151
- NPI assigned
- Apr 8, 2015
- 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 | 10275 | CT | Primary |
Addresses
Primary practice location
680 S Main St
Suite 102
Cheshire, CT 06410-3181
Mailing address
230 George St
New Haven, CT 06510-3224
Phone (203) 498-5980
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10275 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1306232293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103224",
"telephone_number": "203-498-5980",
"fax_number": "203-498-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S MAIN ST",
"address_2": "SUITE 102",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103181",
"telephone_number": "203-272-3120",
"fax_number": "203-272-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.