Active NPI
Neelam Patel, DPT
- Physical Therapist
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012026
- Practice address
- 11190 Medlock Bridge Rd
Johns Creek, GA 30097-2578 - Phone
- (678) 691-6815
- Fax
- (678) 691-6918
- NPI assigned
- Aug 11, 2015
- Last updated
- Jan 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PT012026 | GA | Primary |
Addresses
Primary practice location
11190 Medlock Bridge Rd
Johns Creek, GA 30097-2578
Mailing address
11190 Medlock Bridge Rd
Johns Creek, GA 30097-2578
Phone (678) 691-6815
Other names 1
- Neelam Kuber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Whitlock Ave NW
Marietta, GA 30064-2362
Phone (678) 919-7114
11190 Medlock Bridge Rd
Johns Creek, GA 30097-2578
Phone (678) 691-6815
255 Vaughn Dr
Alpharetta, GA 30009-2415
Phone (770) 521-9707
295 E Crossville Rd
Roswell, GA 30075-3027
Phone (678) 367-3224
3333 E Cherokee Dr
Canton, GA 30115-9229
Phone (470) 714-6698
5844 Lawrenceville Hwy
Tucker, GA 30084-1930
Phone (770) 398-4195
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012026 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
| Ability Pro Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Organizations & group practices 5
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.
-
- Physical Therapist
- Winder, GA
- NPI 1831619337
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
-
- Physical Therapist
- Atlanta, GA
- NPI 1962950907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1346616570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 MEDLOCK BRIDGE RD",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972578",
"telephone_number": "678-691-6815",
"fax_number": "678-691-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 MEDLOCK BRIDGE RD",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972578",
"telephone_number": "678-691-6815",
"fax_number": "678-691-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NEELAM",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEELAM",
"last_name": "KUBER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.