Individual provider Active NPI

Rakeshkumar Patel, PT

  • Specialist
  • Bronx, NY
National Provider Identifier
1366461717
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
028089 Issued in NY
Practice address
3019 Lasalle Ave
Bronx, NY 10461-6021
Phone
(347) 419-3233
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 028089 NY
Specialist 174400000X 028089 NY Primary

Addresses

Primary practice location

3019 Lasalle Ave
Bronx, NY 10461-6021

Mailing address

3019 Lasalle Ave
Bronx, NY 10461-6021
Phone (347) 419-3233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108001427 CT Practitioner - Physical Therapist in Private Practice 1153477740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7888CTMDClinical Social Worker
028089NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC CurrentSince Jun 7, 2022 Accepting new patients
Noble Physical Therapy, PLLC Physical Therapy PastSince Feb 19, 2023 Accepting new patients
Alexander Lileika PT, PC Physical Therapy PastSince Jul 1, 2010 Accepting new patients
New Rochelle Physical Therapy Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rakesh.patel.1@12022.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1366461717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 LASALLE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616021",
            "telephone_number": "347-419-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 LASALLE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616021",
            "telephone_number": "347-419-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAKESHKUMAR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028089",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "028089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.