Individual provider Active NPI

Dipal Patel, DPT, PT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1316548589
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019395 Issued in MI
Practice address
4063 Pond Run
Canton, MI 48188-2176
Phone
(734) 756-3574
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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 5501019395 MI Primary

Addresses

Primary practice location

4063 Pond Run
Canton, MI 48188-2176

Mailing address

4063 Pond Run
Canton, MI 48188-2176
Phone (734) 756-3574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830003648 MI Practitioner - Physical Therapist in Private Practice 6406230150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Michigan College of Medicine and Surgery, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Outcomes Management,LLCGroup PAC ID 1355602426, 18 clinicians

Practice addresses (Care Compare)

210 Town Ctr Dr
Troy, MI 48084-1774
Phone (248) 643-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Outcomes Management,LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

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, 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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1316548589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 POND RUN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882176",
            "telephone_number": "734-756-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 POND RUN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882176",
            "telephone_number": "734-756-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPAL",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.