Active NPI
Dipak Patel
- Physical Therapist
- Sterling Heights, MI
National Provider Identifier
1730331687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013366
- Practice address
- 43184 Dequindre Rd
Suite 209
Sterling Heights, MI 48314-1709 - Phone
- (586) 997-5000
- Fax
- (586) 997-5009
- NPI assigned
- Oct 22, 2008
- Last updated
- Oct 22, 2008
- Sex
- Male
- 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 | 5501013366 | MI | Primary |
Addresses
Primary practice location
43184 Dequindre Rd
Suite 209
Sterling Heights, MI 48314-1709
Mailing address
43184 Dequindre Rd
Suite 209
Sterling Heights, MI 48314-1709
Phone (586) 997-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013366 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Plus Rehab Services Inc. | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- dipak.patel.1@15749.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Troy, MI
- NPI 1255403598
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1730331687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43184 DEQUINDRE RD",
"address_2": "SUITE 209",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483141709",
"telephone_number": "586-997-5000",
"fax_number": "586-997-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43184 DEQUINDRE RD",
"address_2": "SUITE 209",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483141709",
"telephone_number": "586-997-5000",
"fax_number": "586-997-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.