Purandhri Patel, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018113 Issued in IL

Practice address

6820 State Route 162
Maryville, IL 62062

Phone

(618) 288-5567

NPI assigned

Oct 15, 2010

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)

Enrolled

Practice roles

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.

• Collinsville Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Collinsville, IL
  • NPI 1205033081
  NPD (past)
• King Spinal & Sports Rehabilitation, LTD.

  • Physical Therapist
  • Granite City, IL
  • NPI 1427157593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1669782397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURANDHRI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markel L Owens, M.D.
• Morgan Parker
• Ryan Parker, NP-C
• Kathleen M. Parks, MS, CCC-SLP
• Jeffrey A Parres, MD
• Eddie Lynn Paulk, D.O.
• Peace of Mind Counseling, LLC
• Peak Performance Chiropractic LLC
• Tracey Sue Pearson-Heaney, M.A., L.P.C, LCPC
• James Francis Peculis, MPAS

• Physical Therapist in Maryville, IL
• Providers in Maryville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.