Individual provider Active NPI

Bhavyang Babulal Patel, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1407169295
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0320061 Issued in NY
Practice address
1642 63Rd St
Brooklyn, NY 11204-2713
Phone
(718) 234-5700
Fax
(718) 234-5755
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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 0320061 NY Primary

Addresses

Primary practice location

1642 63Rd St
Brooklyn, NY 11204-2713

Mailing address

20 Romaine Ave FL 2
Jersey City, NJ 07306-5604
Phone (551) 208-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113001735 CA Practitioner - Physical Therapist in Private Practice 1153713607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interface Rehab, Inc.Group PAC ID 6204736556, 10 clinicians

Practice addresses (Care Compare)

774 S Placentia Ave
Suite 200
Placentia, CA 92870-6838
Phone (714) 646-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0320061NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Rehab, Inc. CurrentSince Aug 10, 2025 Accepting new patients
Interface Rehab, Inc. CurrentSince Aug 10, 2025 Accepting new patients

Locations

2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841

909 Lucile Ave
Los Angeles, CA 90026
Phone (323) 663-8281

774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300

Organizations & group practices 3

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1407169295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROMAINE AVE FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065604",
            "telephone_number": "551-208-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042713",
            "telephone_number": "718-234-5700",
            "fax_number": "718-234-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVYANG",
        "middle_name": "BABULAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0320061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.