Individual provider Active NPI

Dhara N Patel, PT, DPT

  • Physical Therapist
  • Hollywood, FL
National Provider Identifier
1770004756
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41414 Issued in FL
Practice address
785 S State Road 7
Hollywood, FL 33023-6710
Phone
(754) 277-4940
Fax
(754) 287-2261
NPI assigned
Jun 29, 2017
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 PT41414 FL Primary

Addresses

Primary practice location

785 S State Road 7
Hollywood, FL 33023-6710

Mailing address

1025 E Hallandale Beach Blvd Ste 15-757
Hallandale Beach, FL 33009-4478
Phone (754) 277-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240928000421 FL Practitioner - Physical Therapist in Private Practice 2163881855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jaylorin Group Inc Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
42ND Street Physical Medicine & Rehabilitaion,P.C. Past Accepting new patients

Locations

1025 E Hallandale Beach Blvd
Ste 15747
Hallandale Beach, FL 33009

785 S State Road 7
Hollywood, FL 33023
Phone (754) 277-4940

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1770004756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E HALLANDALE BEACH BLVD STE 15-757",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094478",
            "telephone_number": "754-277-4940",
            "fax_number": "754-287-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236710",
            "telephone_number": "754-277-4940",
            "fax_number": "754-287-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARA",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.