Individual provider Active NPI

Janaki Patel, DPT

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1659919595
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045247-01 Issued in NY
Practice address
5023 64TH St
Woodside, NY 11377-5804
Phone
(718) 598-3175
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 045247-01 NY Primary

Addresses

Primary practice location

5023 64TH St
Woodside, NY 11377-5804

Mailing address

5023 64TH St
Woodside, NY 11377-5804
Phone (718) 598-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201120001983 NY Practitioner - Physical Therapist in Private Practice 5799196895 Reassigns benefits to 1 organization
I20260206000694 MD Practitioner - Physical Therapist in Private Practice 5799196895 Reassigns benefits to 1 organization
I20260206000991 DC Practitioner - Physical Therapist in Private Practice 5799196895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forever Fit Physical Therapy and Wellness LLCGroup PAC ID 1153513122, 40 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125

4701 Queens Blvd
Sunnyside, NY 11104-1660
Phone (917) 310-2772

7130 Minstrel Way
Ll110
Columbia, MD 21045-5261
Phone (240) 841-2639

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30733MDMDPharmacist
045247NYMDPharmacist
045247-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Forever Fit Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Forever Fit Physical Therapy & Wellness, LLC CurrentSince Jan 26, 2026 Accepting new patients
Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients

Locations

3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684

7130 Minstrel Way
Ste LL110
Columbia, MD 21045
Phone (240) 841-2639

10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

4701 Queens Blvd
Sunnyside, NY 11104
Phone (718) 482-8900

Philadelphia, PA 19195

Organizations & group practices 5

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1659919595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775804",
            "telephone_number": "718-598-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775804",
            "telephone_number": "718-598-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANAKI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045247-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.