Individual provider Active NPI

Stuti Patel, DPT

  • Physical Therapist
  • Rockaway, NJ
National Provider Identifier
1720805500
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02281000 Issued in NJ
Practice address
7000 Matthew Dr Unit 7406
Rockaway, NJ 07866-1250
Phone
(973) 317-8687
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 40QA02281000 NJ Primary

Addresses

Primary practice location

7000 Matthew Dr Unit 7406
Rockaway, NJ 07866-1250

Mailing address

7000 Matthew Dr Unit 7406
Rockaway, NJ 07866-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241021001669 NJ Practitioner - Physical Therapist in Private Practice 2769914308 Reassigns benefits to 1 organization
I20251126002001 CA Practitioner - Physical Therapist in Private Practice 2769914308 Reassigns benefits to 1 organization
I20260513003923 TX Practitioner - Physical Therapist in Private Practice 2769914308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Sand Creek Rd
Suite a
Brentwood, CA 94513-2539
Phone (925) 939-8585

9291 Garland Rd
Suite 110
Dallas, TX 75218-2850
Phone (972) 892-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02281000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Oct 13, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Oct 13, 2025 Accepting new patients
Adl Rehab CurrentSince Sep 29, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

101 Sand Creek Rd
#A
Brentwood, CA 94513
Phone (925) 978-6959

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: stuti.patel.d1.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1720805500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MATTHEW DR UNIT 7406",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 MATTHEW DR UNIT 7406",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661250",
            "telephone_number": "973-317-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "STUTI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02281000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.