Kelan Patel, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056006054 Issued in IL

Practice address

400 N Schmidt Rd Ste 201
Bolingbrook, IL 60440-1795

Phone

(855) 808-4442

NPI assigned

Jun 9, 2015

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Third Eye Bliss PT 1 LLCGroup PAC ID 3870972672, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Third Eye Bliss PT 1 LLC

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1114671971
  Medicare reassignment Care Compare group NPD
• Third Eye Bliss Investments, Inc.

  • Physical Therapist
  • Plainfield, IL
  • NPI 1275259731
  Medicare reassignment NPD
• Third Eye Bliss Investments, Inc.

  dba Fyzical Naperville South

  • Physical Therapist
  • Naperville, IL
  • NPI 1902637309
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Grayslake, IL
  • NPI 1689141376

  Occupational Therapist

  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Prime Tech Services Inc

  dba Therapeutic Services of America

  • Physical Therapist
  • Des Plaines, IL
  • NPI 1760550362
  NPD (past)
• Wellbound Illinois LLC

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1821361759
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1720469307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N SCHMIDT RD STE 201",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401795",
            "telephone_number": "855-808-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SCHMIDT RD STE 201",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401795",
            "telephone_number": "855-808-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KELAN",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rowena Napenas Partido, PT, DPT
• Eman Parvez
• Kailee Pasbrig, DC
• Dhara H Patel, MD
• Kavin P Patel
• Manoj Nanalal Patel
• Milan Vijay Patel, DPM
• Munira Mamendra Patel
• Nilam Patel
• Patterson Medical Supply, Inc (Sammons Preston)

• Occupational Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.