Active NPI
Milankumar Maheshbhai Patel, PT
- Physical Therapist
- Clarksburg, MD
National Provider Identifier
1750754925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25376
- Practice address
- 23923 Basil Park Circle
Clarksburg, MD 20871 - Phone
- (609) 369-6594
- NPI assigned
- Nov 9, 2015
- Last updated
- Apr 27, 2019
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25376 | MD | MD | Physical 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.