Individual provider Active NPI

Jaina Bhagat Patel, DPT

  • Physical Therapist
  • Northridge, CA
National Provider Identifier
1619083045
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36869 Issued in CA
Practice address
9545 Reseda Blvd Ste 4
Northridge, CA 91324
Phone
(818) 886-2005
Fax
(818) 886-8165
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 36869 CA Primary

Addresses

Primary practice location

9545 Reseda Blvd Ste 4
Northridge, CA 91324

Mailing address

6413 Gwin CT
Oakland, CA 94611-1254
Phone (415) 238-6470

Other names 1

  • Ms. Jaina Hasmukh Bhagat Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000699 CA Practitioner - Physical Therapist in Private Practice 9436306859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Mvjbp Physical Therapy CorporationGroup PAC ID 5799022208, 3 clinicians
JBP Physical Therapy CorporationGroup PAC ID 2668628090, 2 clinicians

Practice addresses (Care Compare)

150 Nellen Ave
Suite 100
Corte Madera, CA 94925-1197
Phone (415) 238-6470

9545 Reseda Blvd
Suite 4
Northridge, CA 91324-2351
Phone (818) 886-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JBP Physical Therapy Corporation Physical Therapist CurrentSince Jul 26, 2011 Accepting new patients
Mvjbp Physical Therapy Corporation Physical Therapist CurrentSince Jul 23, 2018 Accepting new patients
Canyon Physical Therapy Inc. PastSince Jul 26, 2011 Accepting new patients

Locations

150 Nellen Ave
Ste 100
Corte Madera, CA 94925
Phone (415) 238-6470

619 E Blithedale Ave
Ste B
Mill Valley, CA 94941
Phone (415) 238-6470

9545 Reseda Blvd
Ste 4
Northridge, CA 91324
Phone (818) 886-2005

Organizations & group practices 3

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1619083045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 GWIN CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111254",
            "telephone_number": "415-238-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 RESEDA BLVD STE 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-886-2005",
            "fax_number": "818-886-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAINA",
        "middle_name": "BHAGAT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAINA",
            "last_name": "BHAGAT",
            "middle_name": "HASMUKH",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.