Individual provider Active NPI

Vihar Bhanubhai Patel

  • Physical Therapist
  • Jackson, MI
National Provider Identifier
1497061329
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014210 Issued in MI
Practice address
3510 Page Ave Ste 1
Jackson, MI 49203-2320
Phone
(517) 781-5130
Fax
(517) 781-5131
NPI assigned
Aug 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 5501014210 MI Primary

Addresses

Primary practice location

3510 Page Ave Ste 1
Jackson, MI 49203-2320

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Other practice location 1

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone (248) 346-7081

Other practice location 2

100 E Michigan Ave Ste 103
Jackson, MI 49201-1406
Phone (517) 205-7252

Other practice location 3

168 S Howell St
Hillsdale, MI 49242-2040
Phone (909) 379-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2122 York Rd
Suite 300
Oak Brook, IL 60523-1981

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014210MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Dec 22, 2022 Accepting new patients
Maple Rehab LLC Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 22, 2022 Accepting new patients
W.a. Foote Memorial Hospital, Inc Past Accepting new patients
W a Foote Memorial Hospital Inc Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

100 W Kirby St
Ste 302
Detroit, MI 48202
Phone (248) 228-4115

G1071 N Ballenger Hwy
Ste 207B
Flint, MI 48504
Phone (810) 496-4477

3510 Page Ave
Ste 1
Jackson, MI 49203
Phone (517) 781-5130

3510 Page Ave
Jackson, MI 49203
Phone (517) 781-5130

Interoperability endpoints

  • Direct secure messaging: vihar.patel.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1497061329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PAGE AVE STE 1",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032320",
            "telephone_number": "517-781-5130",
            "fax_number": "517-781-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G1071 N Ballenger Hwy",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485044453",
            "country_code": "US",
            "telephone_number": "248-346-7081",
            "fax_number": "248-479-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Michigan Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011406",
            "country_code": "US",
            "telephone_number": "517-205-7252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 S Howell St",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492422040",
            "country_code": "US",
            "telephone_number": "909-379-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIHAR",
        "middle_name": "BHANUBHAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-12-20",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.