Individual provider Active NPI

Neelam Patel, DPT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1346616570
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012026 Issued in GA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215000156 GA Practitioner - Physical Therapist in Private Practice 4284935370 Reassigns benefits to 3 organizations

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

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

LicenseStateTypeSpecialty
PT012026GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Ability Pro Therapy, LLC Physical Therapist PastSince Sep 15, 2016 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.

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.

Verify at the official NPI Registry.