Ajaykumar Patel
Individual provider Active NPI Physical Therapist · Richmond, TX
NPI 1417359043 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1417359043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1370987 (TX)
- Practice address
- 18502 W Bellfort St Ste 118
Richmond, TX 77407-9003 - Phone
- (248) 403-1730
- NPI assigned
- Sep 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Therapy, PC
Practice addresses (Care Compare)
18502 W Bellfort St
Suite 118
Richmond, TX 77407-9003
Phone (979) 774-9958
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230201003192 | TX | Practitioner - Physical Therapist in Private Practice | 8325321722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016850 | MI | MD | Physical Therapist |
| 1370987 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Brain and Spine Rehab Services LLC | Physical Therapist | Current | Accepting new patients |
| Advance Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958
15119 Wallisville Rd
Ste 100
Houston, TX 77049
Phone (832) 626-3366
9638 Huffmeister Rd
#A
Houston, TX 77095
Phone (281) 214-2121
18502 W Bellfort St
Ste 118
Richmond, TX 77407
Phone (248) 403-1730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016850 | MI | |
| Physical Therapist | 225100000X | 1370987 | TX | Yes |
Addresses
Primary practice location
18502 W Bellfort St Ste 118
Richmond, TX 77407-9003
Mailing address
18502 W Bellfort St Ste 118
Richmond, TX 77407-9003
Phone (248) 403-1730
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.