Active NPI
Pallavi Kalpesh Patel, OTR
- Occupational Therapist
- Floral Park, NY
National Provider Identifier
1649425539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0127188 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013810 | NY | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pallavi Patel OT P.C | Early Intervention Provider Agency | Current | 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.
-
- Early Intervention Provider Agency
- Bellerose, NY
- NPI 1902192867
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.