Individual provider Active NPI

Jinalben Pravinkumar Patel

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1710445606
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013254A Issued in IN
Practice address
825 Whiting Ave
Stevens Point, WI 54481-5246
Phone
(715) 346-1374
NPI assigned
Mar 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 05013254A IN Primary

Addresses

Primary practice location

825 Whiting Ave
Stevens Point, WI 54481-5246

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

11570 E 126th St
Fishers, IN 46037-9592
Phone (317) 579-0166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000259 IN Practitioner - Physical Therapist in Private Practice 0840694527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

11570 E 126TH St
Vertis Therapy|Lake Meadows
Fishers, IN 46037-9592
Phone (317) 579-0166

8936 Southpointe Dr
Suite A1
Indianapolis, IN 46227-7506
Phone (317) 888-3838

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013254AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4346 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 641-7605

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

506 E Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299

10 S 9th St
Ste 4
Noblesville, IN 46060

2656 E Main St
Plainfield, IN 46168

Organizations & group practices 4

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": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1710445606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815246",
            "telephone_number": "715-346-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11570 E 126th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379592",
            "country_code": "US",
            "telephone_number": "317-579-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JINALBEN",
        "middle_name": "PRAVINKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013254A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.