Individual provider Active NPI

Disha Yogesh Patel, DPT

  • Physical Therapist
  • Deerfield, IL
National Provider Identifier
1558189407
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028708 Issued in IL
Practice address
710 Robert York Ave Ste D
Deerfield, IL 60015-4343
Phone
(312) 720-6784
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 070.028708 IL Primary

Addresses

Primary practice location

710 Robert York Ave Ste D
Deerfield, IL 60015-4343

Mailing address

710 Robert York Ave
Deerfield, IL 60015-4343
Phone (312) 720-6784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002912 IL Practitioner - Physical Therapist in Private Practice 4688106743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
React Physical Therapy LLCGroup PAC ID 0143303982, 12 clinicians

Practice addresses (Care Compare)

710 Robert York Ave
Deerfield, IL 60015-4343
Phone (312) 720-6784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028708ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
React Physical Therapy LLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

1520 N Dayton St
Chicago, IL 60642
Phone (312) 380-1822

710 Robert York Ave
Deerfield, IL 60015
Phone (312) 720-6784

710 Robert York Ave
Ste D
Deerfield, IL 60015
Phone (312) 720-6784

Organizations & group practices 1

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1558189407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ROBERT YORK AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154343",
            "telephone_number": "312-720-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ROBERT YORK AVE STE D",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154343",
            "telephone_number": "312-720-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DISHA",
        "middle_name": "YOGESH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.