Active NPI
Jaimini Mayank Patel
- Physical Therapy Assistant
- Northbrook, IL
National Provider Identifier
1447950886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.005052
- Practice address
- 1000 Sunset Ridge Rd
Northbrook, IL 60062-4008 - Phone
- (224) 235-4639
- NPI assigned
- Mar 6, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.005052 | IL | Primary |
Addresses
Primary practice location
1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Mailing address
7937 Lyons St
Morton Grove, IL 60053-1636
Phone (847) 858-6186
Other practice location 1
1815 Norwood Ct
Evanston, IL 60201-1841
Phone (847) 960-5555
Other practice location 2
2200 Golf Rd
Glenview, IL 60025-4903
Phone (847) 416-8912
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 |
|---|---|---|---|
| 160.005052 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1447950886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7937 LYONS ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600531636",
"telephone_number": "847-858-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SUNSET RIDGE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624008",
"telephone_number": "224-235-4639"
}
],
"practiceLocations": [
{
"address_1": "1815 Norwood Ct",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011841",
"country_code": "US",
"telephone_number": "847-960-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Golf Rd",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600254903",
"country_code": "US",
"telephone_number": "847-416-8912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JAIMINI",
"middle_name": "MAYANK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.005052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.