Active NPI
Rakeshkumar Patel, PT
- Specialist
- Bronx, NY
National Provider Identifier
1366461717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 028089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221108001427 | CT | Practitioner - Physical Therapist in Private Practice | 1153477740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7888 | CT | MD | Clinical Social Worker |
| 028089 | NY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson in Home Physical Therapy and Occupational Therapy PLLC | Current | Accepting new patients | |
| Noble Physical Therapy, PLLC | Physical Therapy | Past | Accepting new patients |
| Alexander Lileika PT, PC | Physical Therapy | Past | Accepting new patients |
| New Rochelle Physical Therapy | Specialist | Past | Accepting new patients |
Interoperability endpoints
- rakesh.patel.1@12022.direct.athenahealth.com
- 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.
-
- Physical Therapy Clinic/Center
- Mamaroneck, NY
- NPI 1316376551
-
- Physical Rehabilitation Occupational Therapist
- Bronx, NY
- NPI 1366197758
-
- Specialist
- New Rochelle, NY
- NPI 1093755852
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.