Individual provider Active NPI

Priya N Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1568952182
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11437 Issued in TN
Practice address
3202 N Kildare Ave Apt 1N
Chicago, IL 60641-4550
Phone
(630) 439-6849
NPI assigned
May 18, 2018
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

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 11437 TN Primary

Addresses

Primary practice location

3202 N Kildare Ave Apt 1N
Chicago, IL 60641-4550

Mailing address

3202 N Kildare Ave Apt 1N
Chicago, IL 60641-4550
Phone (630) 439-6849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11437TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nice Physical Therapy Group, PLLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: priya.patel@811393367080964.direct.elationemr.com

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1568952182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N KILDARE AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414550",
            "telephone_number": "630-439-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 N KILDARE AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414550",
            "telephone_number": "630-439-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "middle_name": "N",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.