Active NPI
Kaushal Patel, DPT
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218 - Phone
- (904) 223-2363
- NPI assigned
- Nov 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218
Mailing address
4870 Deer Lake Dr E Ste 4303
Jacksonville, FL 32246-6321
Phone (912) 220-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Motion Physical Therapy LLC | Current | Accepting new patients | |
| In Motion Physical Therapy LLC | Current | Accepting new patients | |
| Performance Physio LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients |
Locations
4776 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 223-2363
306 Shirley Ave
Douglas, GA 31533
Phone (229) 241-8925
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
1411 Alice St
Waycross, GA 31501
Phone (912) 282-2989
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1679760862
-
- Physical Therapy Clinic/Center
- St Simons Island, GA
- NPI 1942197025
-
- Physical Therapy Clinic/Center
- St Augustine, FL
- NPI 1629841408
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1619634946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 DEER LAKE DR E STE 4303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322466321",
"telephone_number": "912-220-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4776 HODGES BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247218",
"telephone_number": "904-223-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAUSHAL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.