Active NPI
Jinalben Pravinkumar Patel
- Physical Therapist
- Stevens Point, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013254A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013254A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
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.