Russes A Patel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604744 Issued in VA

Practice address

776 Oak Grove Rd
Chesapeake, VA 23320-3728

Phone

(757) 389-7900

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1629664701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 OAK GROVE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 OAK GROVE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203728",
            "telephone_number": "757-389-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUSSES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2306604744",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.pointclickcare.com/home/userLogin.xhtml",
            "affiliation": "N",
            "endpointDescription": "Rehab Optima",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Rehab Optima",
            "address_1": "776 Oak Grove Rd",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233203728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meet Patel, NP
• Mona Patel, PMHNP
• Mrugendra Raojibhai Patel, M.D.
• Neepa Patel, D.D.S.
• Prajay Patel, OD
• Sanjay Patel, M.D.
• Sonal A Patel, MD
• Vandana Apruva Patel, MD
• Pathways Behavioral Services
• Patient First

• Physical Therapy Assistant in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.