Individual provider Active NPI

Manish Patel, OTRL

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1508905944
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC-006841L Issued in PA
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

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20110324000129 PA Practitioner - Occupational Therapist in Private Practice 4880877182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC-006841LPAMDOccupational Therapist
OC-006481LPAMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Fortaleza Physical Therapy Center Inc. Occupational Therapist CurrentSince Nov 9, 2010 Accepting new patients
La Fortaleza Physical Therapy Center Inc Occupational Therapist Past Accepting new patients
La Fortaleza Physical Therapy Inc Occupational Therapist PastSince Nov 9, 2010 Accepting new patients
Theracare Rehabilitation Services Inc Occupational Therapist PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.