Active NPI
Heena Patel
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1366991358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0014928
- Practice address
- 3310 Shellpot Dr
Wilmington, DE 19803-2330 - Phone
- (302) 650-8155
- NPI assigned
- Oct 2, 2016
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | J1-0014928 | DE | Primary |
| Physical Therapy Assistant | 225200000X | J2-0001091 | DE |
Addresses
Primary practice location
3310 Shellpot Dr
Wilmington, DE 19803-2330
Mailing address
3310 Shellpot Dr
Wilmington, DE 19803-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0014928 | DE | MD | Physical Therapist |
| J2-0001091 | DE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1366991358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 SHELLPOT DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 SHELLPOT DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032330",
"telephone_number": "302-650-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-02",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0014928",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "J2-0001091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.