Active NPI
Manish Patel, OTRL
- Occupational Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC-006841L
- Practice address
- 3251 Cedar St
Philadelphia, PA 19134-4514 - Phone
- (215) 427-2242
- Fax
- (215) 427-2433
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC-006841L | PA | Primary |
| Hand Occupational Therapist | 225XH1200X | OC-006841L | PA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OC-006481L | PA |
Addresses
Primary practice location
3251 Cedar St
Philadelphia, PA 19134-4514
Mailing address
133 W Hunting Park Ave
Philadelphia, PA 19140-2717
Phone (215) 455-5370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC-006841L | PA | MD | Occupational Therapist |
| OC-006481L | PA | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Fortaleza Physical Therapy Center Inc. | Occupational Therapist | Current | Accepting new patients |
| La Fortaleza Physical Therapy Center Inc | Occupational Therapist | Past | Accepting new patients |
| La Fortaleza Physical Therapy Inc | Occupational Therapist | Past | Accepting new patients |
| Theracare Rehabilitation Services Inc | Occupational Therapist | Past | Accepting new patients |
Locations
3251 Cedar St
Philadelphia, PA 19134
Phone (215) 427-2242
133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600
7500 Central Ave
Ste 102
Philadelphia, PA 19111
Phone (267) 388-6077
Organizations & group practices 4
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1285673517
Occupational Therapist
-
- Occupational Therapist
- Holland, PA
- NPI 1427572320
-
- Physical Therapist
- Philadelphia, PA
- NPI 1457897779
Occupational Therapist
-
- Physical Therapist
- Philadelphia, PA
- NPI 1609170679
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1508905944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191402717",
"telephone_number": "215-455-5370",
"fax_number": "215-455-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 CEDAR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344514",
"telephone_number": "215-427-2242",
"fax_number": "215-427-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANISH",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC-006841L",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "PA",
"license": "OC-006841L",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "PA",
"license": "OC-006481L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.