Active NPI
Hemant Dasharathlal Patel, PT
- Physical Therapist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29148
- Practice address
- 105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159 - Phone
- (904) 824-1636
- Fax
- (904) 824-7488
- NPI assigned
- Jul 20, 2006
- Last updated
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011729 | GA | |
| Physical Therapist | 225100000X | 05008811A | IN | |
| Physical Therapist | 225100000X | 027205 | NY | |
| Physical Therapist | 225100000X | PT29148 | FL | Primary |
Addresses
Primary practice location
105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Mailing address
105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Phone (904) 824-1636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1845 Eastwest Pkwy
Suite 14And15
Fleming Island, FL 32003-6405
Phone (904) 264-6304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29148 | FL | MD | Physical Therapist |
| PT011729 | GA | MD | Physical Therapist |
| 05008811A | IN | MD | Physical Therapist |
| 027205 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Orange Park, Inc | Current | Accepting new patients | |
| Physical Therapy Associates of Orange Park, Inc | Physical Therapist | Current | Accepting new patients |
| Uniq Therapy Services Inc | Physical Therapist | Current | Accepting new patients |
| SRN Chiropractic, PC | Past | Accepting new patients | |
| Rebound Rehabilitative Services Inc | Past | Accepting new patients | |
| Rebound Rehabilitative Services Inc | Past | Accepting new patients | |
| Rebound Rehabilitative Services Inc | Physical Therapist | Past | Accepting new patients |
| Rebound Rehabilitative Services Inc | Physical Therapist | Past | Accepting new patients |
| I.E.S. Medical, PC | Past | Accepting new patients | |
| White Medical, PC | Past | Accepting new patients |
Locations
1845 Eastwest Pkwy
Ste 1415
Fleming Isle, FL 32003
Phone (904) 264-6301
280 Dundas Dr
Ste B
Jacksonville, FL 32218
Phone (904) 420-0110
151 College Dr
Ste 10
Orange Park, FL 32065
Phone (904) 264-6304
1550 Business Center Dr
Ste B
Orange Park, FL 32003
Phone (904) 264-6304
7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315
1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085
Organizations & group practices 19
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.
-
dba Progressive Step Rehab of Orange Park
- Physical Therapy Clinic/Center
- Fleming Island, FL
- NPI 1508883018
Physical Therapist
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
-
dba Progressive Step Rehabilitation of orange Park
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1417662875
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1104793819
-
dba Rebound Rehabilitation
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1003642323
-
- Orthopedic Physical Therapist
- Orange Park, FL
- NPI 1104328269
-
dba Rebound Rehabilitation
- Physical Therapy Clinic/Center
- Middleburg, FL
- NPI 1295561512
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1316828494
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1417570326
-
- Physical Therapy Clinic/Center
- St Augustine, FL
- NPI 1477510907
Physical Therapist
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1528501715
Physical Therapist
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1578202404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1326068586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SOUTHPARK BLVD STE B201",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865159",
"telephone_number": "904-824-1636",
"fax_number": "904-824-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOUTHPARK BLVD STE B201",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865159",
"telephone_number": "904-824-1636",
"fax_number": "904-824-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HEMANT",
"middle_name": "DASHARATHLAL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011729",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008811A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027205",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.