Individual provider Active NPI

Rucha Patel, DPT

  • Physical Therapist
  • Wilmette, IL
National Provider Identifier
1326164013
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015424 Issued in IL
Practice address
419 10TH St
Wilmette, IL 60091-2732
Phone
(219) 588-5150
NPI assigned
Mar 22, 2007
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 070015424 IL Primary

Addresses

Primary practice location

419 10TH St
Wilmette, IL 60091-2732

Mailing address

419 10TH St
Wilmette, IL 60091-2732
Phone (219) 588-5150

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ruchapateldpt@gmail.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015424ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rucha Patel, DPT LLC Physical Therapist CurrentSince Oct 4, 2007 Accepting new patients
Impact Physical Therapy, LLC Physical Therapist CurrentSince Mar 3, 2024 Accepting new patients

Locations

602 S Neil St
Champaign, IL 61820
Phone (217) 649-0504

1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101

Organizations & group practices 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1326164013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 10TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912732",
            "telephone_number": "219-588-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 10TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912732",
            "telephone_number": "219-588-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUCHA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ruchapateldpt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patients",
            "address_1": "419 10th St",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600912732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.