Individual provider Active NPI

Ankitkumar Patel, PT

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1669117461
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41374 Issued in FL
Practice address
11453 NW 39TH CT Apt 310
Coral Springs, FL 33065-7274
Phone
(631) 574-9439
NPI assigned
May 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048468 NY
Physical Therapist 225100000X PT41374 FL Primary

Addresses

Primary practice location

11453 NW 39TH CT Apt 310
Coral Springs, FL 33065-7274

Mailing address

11453 NW 39TH CT Apt 310
Coral Springs, FL 33065-7274
Phone (631) 574-9439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424003905 FL Practitioner - Physical Therapist in Private Practice 3476930413 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048468NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boca Raton, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Florida Movement Therapy Center-Boynton Beach Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

21345 Powerline Rd
Ste 100
Boca Raton, FL 33433
Phone (561) 883-7800

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

7 Carnegie Plz
Cherry Hill, NJ 08003

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 3

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1669117461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11453 NW 39TH CT APT 310",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657274",
            "telephone_number": "631-574-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11453 NW 39TH CT APT 310",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657274",
            "telephone_number": "631-574-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKITKUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048468",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.