Individual provider Active NPI

Khushboo Patel

  • Physical Therapist
  • East Windsor, NJ
National Provider Identifier
1528413606
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01639400 Issued in NJ
Practice address
400 US Highway 130
East Windsor, NJ 08520-2792
Phone
(609) 918-0600
NPI assigned
Apr 26, 2016
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01639400 NJ Primary

Addresses

Primary practice location

400 US Highway 130
East Windsor, NJ 08520-2792

Mailing address

22 Yorkshire Dr
Apt # 31B BLDG 6
East Windsor, NJ 08520-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001041 NJ Practitioner - Physical Therapist in Private Practice 4183916034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physical Therapy CenterGroup PAC ID 4183140874, 4 clinicians

Practice addresses (Care Compare)

301 N Harrison St
Suite 200
Princeton, NJ 08540-3527
Phone (732) 853-8177

3562 Route 27
Suite 124
Kendall Park, NJ 08824-1062
Phone (732) 317-4105

3562 RT
27 Suite 124
Kendall Park, NJ 08824-1062

627 Spotswood Englishtown Rd
Suite 4
Monroe, NJ 08831-3307
Phone (732) 790-8486

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Sep 1, 2016 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients

Locations

400 US Highway 130
East Windsor, NJ 08520
Phone (609) 918-0600

3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1528413606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 YORKSHIRE DR",
            "address_2": "APT # 31B BLDG 6",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202792",
            "telephone_number": "609-918-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHUSHBOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01639400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.