Individual provider Active NPI

Daxa Kasabwala Patel

  • Pediatric Occupational Therapist
  • North Brunswick, NJ
National Provider Identifier
1508173428
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
010151-1 Issued in NY
Practice address
920 Bradley St
North Brunswick, NJ 08902-2208
Phone
(732) 565-9338
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 010151-1 NY Primary

Addresses

Primary practice location

920 Bradley St
North Brunswick, NJ 08902-2208

Mailing address

920 Bradley St
North Brunswick, NJ 08902-2208
Phone (732) 565-9338

Other names 1

  • Daxa Kasabwala Patel Professional name

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

LicenseStateTypeSpecialty
010151-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1508173428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BRADLEY ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022208",
            "telephone_number": "732-565-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BRADLEY ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022208",
            "telephone_number": "732-565-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DAXA",
        "middle_name": "KASABWALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "010151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAXA",
            "last_name": "PATEL",
            "middle_name": "KASABWALA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.