Shreeraj Mukesh Patel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1341627 Issued in TX

Practice address

19101 Limestone Commercial Dr Ste 200
Pflugerville, TX 78660-4511

Phone

(615) 373-1350

NPI assigned

Jan 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raj Patel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1760999825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 LIMESTONE COMMERCIAL DR STE 200",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604511",
            "telephone_number": "615-373-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W Big Beaver Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843552",
            "country_code": "US",
            "telephone_number": "888-396-2642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREERAJ",
        "middle_name": "MUKESH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018503",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1341627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "PATEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bhavini Patel, PHARM.D.
• Manisha Patel
• Mansi Patel
• Roshan S Patel
• Sarah Patel
• Patricia E. Nwoko
• Peggy Jo Patterson, RPH
• Islande Paulin Obas
• Carlos Pavon, LMSW
• Tenekia Payne

• Physical Therapist in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.