Individual provider Active NPI

Rutvi Dipakkumar Patel

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1497562938
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
051511 Issued in NY
Practice address
13630 Maple Ave Ste 2J
Flushing, NY 11355-3868
Phone
(347) 245-6101
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 051511 NY Primary

Addresses

Primary practice location

13630 Maple Ave Ste 2J
Flushing, NY 11355-3868

Mailing address

102 Nelson Ave Apt 1
Jersey City, NJ 07307-4597
Phone (571) 337-8686

Other practice location 1

13618 39th Ave Ste 706
Flushing, NY 11354-5583
Phone (718) 288-8662

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1497562938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NELSON AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074597",
            "telephone_number": "571-337-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553868",
            "telephone_number": "347-245-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13618 39th Ave Ste 706",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545583",
            "country_code": "US",
            "telephone_number": "718-288-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUTVI",
        "middle_name": "DIPAKKUMAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "051511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.