Active NPI
Pratik S Patel, DPT
- Physical Therapist
- North Augusta, SC
National Provider Identifier
1750777975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7711
- Practice address
- 401 W Martintown Rd
Suite 169
North Augusta, SC 29841-3186 - Phone
- (803) 441-0025
- Fax
- (803) 441-0031
- NPI assigned
- Apr 14, 2015
- 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 | 7711 | SC | Primary |
Addresses
Primary practice location
401 W Martintown Rd
Suite 169
North Augusta, SC 29841-3186
Mailing address
PO Box 5545
Augusta, GA 30916-5545
Phone (803) 441-0025
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7711 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1750777975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309165545",
"telephone_number": "803-441-0025",
"fax_number": "803-441-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MARTINTOWN RD",
"address_2": "SUITE 169",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413186",
"telephone_number": "803-441-0025",
"fax_number": "803-441-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIK",
"middle_name": "S",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.