Chaitali Vivekkumar Patel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0001241 Issued in DE

Practice address

6525 Lancaster Pike
Hockessin, DE 19707-9582

Phone

(302) 998-0181

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1659087690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 THOMAS LN",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114864",
            "telephone_number": "912-441-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 LANCASTER PIKE",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079582",
            "telephone_number": "302-998-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHAITALI",
        "middle_name": "VIVEKKUMAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0001241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Olivieri, MD
• Elisha Omar, OTR/L
• Kasey Huang Ong
• Renee M. Paoli
• Raymond L Para, DDS
• Swara Patel
• Eugene Thomas Paulus, DPT
• Pediatricks
• Performance Physical Therapy, Inc
• Jaclyn Wooters Petuya, DPT

• Physical Therapy Assistant in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.