Kruti Jayesh Patel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12730 Issued in AZ

Practice address

3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648

Phone

(602) 715-2237

Fax

(602) 715-2238

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Az PT LLCGroup PAC ID 2769851906, 3 clinicians

BD Health and Wellness Solutions LLCGroup PAC ID 6305375460, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• West Az PT LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1174249072
  Medicare reassignment Care Compare group NPD Authorized official
• BD Health & Wellness Solutions LLC

  dba FYZICAL Therapy & Balance Centers - Goodyear

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1659187904
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1770029266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 E WOODLAND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487331",
            "telephone_number": "602-430-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 E GREENWAY RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324648",
            "telephone_number": "602-715-2237",
            "fax_number": "602-715-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11808 Grant St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681643613",
            "country_code": "US",
            "telephone_number": "877-230-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTI",
        "middle_name": "JAYESH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavina Patel
• Khushi Vikas Patel, M.B.B.S.
• Kinjal Patel
• Komal Patel
• Komal Patel
• Laxman P Patel, M.D.
• Mamta Patel
• Manish B Patel, M.D.
• Maya Patel
• Maya Patel

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.