Individual provider Active NPI

Kushal Patel, PT, DPT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1639887797
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43119 Issued in FL
Practice address
1305 S Apollo Blvd Unit 101
Melbourne, FL 32901-3146
Phone
(321) 372-1055
NPI assigned
Nov 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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 PT43119 FL Primary

Addresses

Primary practice location

1305 S Apollo Blvd Unit 101
Melbourne, FL 32901-3146

Mailing address

1305 S Apollo Blvd Unit 101
Melbourne, FL 32901-3146
Phone (321) 372-1055

Other practice location 1

634 Barnes Blvd Ste 202
Rockledge, FL 32955-5217
Phone (321) 351-2700

Other practice location 2

109 Crofton Pl
Palmyra, VA 22963-3300
Phone (434) 589-9588

Other practice location 3

4613 Duke St Ste B
Alexandria, VA 22304-2559
Phone (703) 751-1052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN, DC, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240321002339 VA Practitioner - Physical Therapist in Private Practice 6709223050 Reassigns benefits to 2 organizations
I20240917001655 IN Practitioner - Physical Therapist in Private Practice 6709223050
I20241008004218 DC Practitioner - Physical Therapist in Private Practice 6709223050 Reassigns benefits to 1 organization
I20250612004063 FL Practitioner - Physical Therapist in Private Practice 6709223050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyzical Therapy and Balance Center Rockledge-VieraGroup PAC ID 6406278423, 3 clinicians

Practice addresses (Care Compare)

634 Barnes Blvd
Suite 202
Rockledge, FL 32955-5217
Phone (321) 351-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Fyzical Therapy & Balance Center Rockledge-Viera Physical Therapist CurrentSince Jun 10, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 24, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients
KP Health Group LLC Physical Therapist Past Accepting new patients

Locations

634 Barnes Blvd
Ste 202
Rockledge, FL 32955
Phone (321) 351-2700

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

4613 Duke St
Ste B
Alexandria, VA 22304
Phone (703) 751-1052

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

109 Crofton Pl
Palmyra, VA 22963
Phone (434) 589-9588

Organizations & group practices 6

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1639887797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S APOLLO BLVD UNIT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013146",
            "telephone_number": "321-372-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S APOLLO BLVD UNIT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013146",
            "telephone_number": "321-372-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Barnes Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555217",
            "country_code": "US",
            "telephone_number": "321-351-2700",
            "fax_number": "321-351-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Crofton Pl",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229633300",
            "country_code": "US",
            "telephone_number": "434-589-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4613 Duke St Ste B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042559",
            "country_code": "US",
            "telephone_number": "703-751-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUSHAL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.