Individual provider Active NPI

Pallavi Kalpesh Patel, OTR

  • Occupational Therapist
  • Floral Park, NY
National Provider Identifier
1649425539
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013810 Issued in NY
Practice address
24902 Jericho Tpke Ste 205
Floral Park, NY 11001-4000
Phone
(718) 926-8994
Fax
(718) 939-8364
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 013810 NY
Occupational Therapist 225X00000X 013810 NY Primary

Addresses

Primary practice location

24902 Jericho Tpke Ste 205
Floral Park, NY 11001-4000

Mailing address

24902 Jericho Tpke Ste 205
Floral Park, NY 11001-4000
Phone (516) 775-9777

Other identifiers 1

IdentifierTypeStateIssuer
0127188MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180321001205 NY Practitioner - Occupational Therapist in Private Practice 8426310913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013810NYMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Pallavi Patel OT P.C Early Intervention Provider Agency CurrentSince Oct 1, 2017 Accepting new patients

Locations

24902 Jericho Tpke
Ste 205
Floral Park, NY 11001
Phone (718) 926-8994

24902 Jericho Tpke
Floral Park, NY 11001
Phone (516) 354-1700

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1649425539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE STE 205",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014000",
            "telephone_number": "516-775-9777",
            "fax_number": "516-775-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE STE 205",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014000",
            "telephone_number": "718-926-8994",
            "fax_number": "718-939-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PALLAVI",
        "middle_name": "KALPESH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013810",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.