Active NPI
Mayur Vishnubhai Patel, PT, DPT
- Orthopedic Physical Therapist
- Macon, GA
National Provider Identifier
1629536776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 1645 Forest Hill Rd Ste 105
Macon, GA 31210-1697 - Phone
- (478) 960-7077
- Fax
- (478) 245-9079
- NPI assigned
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary | ||
| Orthopedic Physical Therapist | 2251X0800X | PT014745 | GA | |
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
1645 Forest Hill Rd Ste 105
Macon, GA 31210-1697
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Umiya Nagar Cir
Macon, GA 31206-5401
Phone (334) 322-2536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Physio Dr. LLC | Orthopedic | Current | Accepting new patients |
Locations
1645 Forest Hill Rd
Ste 105
Macon, GA 31210
Phone (334) 322-2536
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1629536776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 FOREST HILL RD STE 105",
"city": "MACON",
"state": "GA",
"postal_code": "312101697",
"telephone_number": "478-960-7077",
"fax_number": "478-245-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MAYUR",
"middle_name": "VISHNUBHAI",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT014745",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.