Individual provider Active NPI

Priyanka N Patel

  • Occupational Therapist
  • Herndon, VA
National Provider Identifier
1518656602
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2697 Velocity Rd
Herndon, VA 20171-2579
Phone
(513) 739-4496
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 0119009965 VA
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

2697 Velocity Rd
Herndon, VA 20171-2579

Mailing address

2697 Velocity Rd
Herndon, VA 20171-2579
Phone (513) 739-4496

Other practice location 1

6044 Greenspring Rd
Fredericksburg, VA 22407-9217
Phone (513) 739-4496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241021004372 VA Practitioner - Occupational Therapist in Private Practice 7618411455 Reassigns benefits to 1 organization
I20241112003152 TX Practitioner - Occupational Therapist in Private Practice 7618411455 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122861TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Post Therapy LLC Occupational Therapist CurrentSince Oct 21, 2024 Accepting new patients
Prospera Rehabilitation LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Synergy Care Southeast, LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

16700 Ella Blvd
Houston, TX 77090
Phone (281) 215-5985

22720 Morton Ranch Rd
Ste 160
Katy, TX 77449
Phone (409) 292-7685

2021 FM 1092 Rd
Missouri City, TX 77459
Phone (281) 565-4144

8008 Ashlane Way
Ste 120
The Woodlands, TX 77382
Phone (281) 914-4679

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1518656602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 VELOCITY RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712579",
            "telephone_number": "513-739-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 VELOCITY RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712579",
            "telephone_number": "513-739-4496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6044 Greenspring Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079217",
            "country_code": "US",
            "telephone_number": "513-739-4496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009965",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.