Individual provider Active NPI

Ankita B Patel

  • Physical Therapist
  • Kearny, NJ
National Provider Identifier
1326327503
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01557900 Issued in NJ
Practice address
699 Kearny Ave
Kearny, NJ 07032-3003
Phone
(201) 270-6059
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032333 NY
Physical Therapist 225100000X 40QA01557900 NJ Primary

Addresses

Primary practice location

699 Kearny Ave
Kearny, NJ 07032-3003

Mailing address

300 Liberty St Apt 9
Little Ferry, NJ 07643-1374
Phone (201) 270-6059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029000139 NJ Practitioner - Physical Therapist in Private Practice 2062721202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Pain and Disability Institute, P.C. CurrentSince Jul 5, 2017 Accepting new patients
Ultra Comprehensive Physical Therapy LLC Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients

Locations

246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1326327503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LIBERTY ST APT 9",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431374",
            "telephone_number": "201-270-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "201-270-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKITA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032333",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01557900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.