Active NPI
Mahesh S Patel
- Physical Therapist
- West Bloomfield, MI
National Provider Identifier
1770329310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014188
- Practice address
- 7125 Orchard Lake Rd Ste 222
West Bloomfield, MI 48322-3616 - Phone
- (248) 865-1418
- NPI assigned
- Jul 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501014188 | MI | Primary |
Addresses
Primary practice location
7125 Orchard Lake Rd Ste 222
West Bloomfield, MI 48322-3616
Mailing address
38044 Cobble Creek CT
Sterling Heights, MI 48312-2000
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 |
|---|---|---|---|
| 5501014188 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1770329310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38044 COBBLE CREEK CT",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 ORCHARD LAKE RD STE 222",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223616",
"telephone_number": "248-865-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MAHESH",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.