Active NPI
Manshi V Patel
- Occupational Therapist
- East Brunswick, NJ
National Provider Identifier
1427692565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00888100
- Practice address
- 620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000 - Phone
- (732) 257-0900
- Fax
- (732) 257-5099
- NPI assigned
- Nov 1, 2019
- Last updated
- Nov 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00888100 | NJ | Primary |
Addresses
Primary practice location
620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000
Mailing address
PO Box 101
Suwanee, GA 30024-0101
Phone (833) 888-7868
Other practice location 1
224 Route 130
Dayton, NJ 08810-0881
Phone (732) 230-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191211001728 | NJ | Practitioner - Occupational Therapist in Private Practice | 6709219413 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Therapeutic Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Dayton, NJ
- NPI 1780059527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1427692565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300240101",
"telephone_number": "833-888-7868",
"fax_number": "833-888-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CRANBURY RD STE 201",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088164000",
"telephone_number": "732-257-0900",
"fax_number": "732-257-5099"
}
],
"practiceLocations": [
{
"address_1": "224 Route 130",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "NJ",
"postal_code": "088100881",
"country_code": "US",
"telephone_number": "732-230-3205",
"fax_number": "732-230-3829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "MANSHI",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00888100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.