Individual provider Active NPI

Niraliben Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1629492665
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015879 Issued in MI
Practice address
901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353
Phone
(313) 554-3600
Fax
(313) 554-3601
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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 5501015879 MI Primary

Addresses

Primary practice location

901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353

Mailing address

901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353
Phone (313) 554-3600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501015879MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Care Rehab Services Past Accepting new patients

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1629492665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-554-3600",
            "fax_number": "313-554-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-554-3600",
            "fax_number": "313-554-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRALIBEN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.