Individual provider Active NPI

Milankumar Maheshbhai Patel, PT

  • Physical Therapist
  • Clarksburg, MD
National Provider Identifier
1750754925
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25376 Issued in MD
Practice address
23923 Basil Park Circle
Clarksburg, MD 20871
Phone
(609) 369-6594
NPI assigned
Nov 9, 2015
Last updated
Apr 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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 25376 MD Primary

Addresses

Primary practice location

23923 Basil Park Circle
Clarksburg, MD 20871

Mailing address

23923 Basil Park Circle
Clarksburg, MD 20871
Phone (609) 369-6594

Other practice location 1

18910 Porterfield Way
Germantown, MD 20874-1877
Phone (609) 369-6594

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

LicenseStateTypeSpecialty
25376MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1750754925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23923 BASIL PARK CIRCLE",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "20871",
            "telephone_number": "609-369-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23923 BASIL PARK CIRCLE",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "20871",
            "telephone_number": "609-369-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18910 Porterfield Way",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208741877",
            "country_code": "US",
            "telephone_number": "609-369-6594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MILANKUMAR",
        "middle_name": "MAHESHBHAI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.