Vipul B Patel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06006036A Issued in IN

Practice address

5024 W Western Ave
South Bend, IN 46619-2312

Phone

(574) 318-4600

NPI assigned

Nov 27, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1760029508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27608 RED THISTLE DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465148256",
            "telephone_number": "224-200-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 W WESTERN AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192312",
            "telephone_number": "574-318-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06006036A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Balvant Patel, M.D.
• Pankaj A Patel, M.D.
• Pratik Patel
• Ravi J Patel, M.D.
• Vaidehi Patel
• Kayona Pates, MSW
• Archie Patterson IV
• Bridget Patterson-Marshall, M.D.
• Dnisha Jabree Patterson-Zona, RBT
• Dale Alan Patterson, M.D.

• Physical Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapy Assistant in Indiana

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