Active NPI
Nikita Patel, PT
- Physical Therapist
- Galt, CA
National Provider Identifier
1770380545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307736
- Practice address
- 835 C St Ste 130
Galt, CA 95632-2802 - Phone
- (209) 745-5802
- Fax
- (209) 745-5574
- NPI assigned
- Feb 27, 2025
- Last updated
- Feb 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 | PT307736 | CA | Primary |
Addresses
Primary practice location
835 C St Ste 130
Galt, CA 95632-2802
Mailing address
408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
835 C St
Suite 130
Galt, CA 95632-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307736 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1770380545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HIGUERA ST STE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016135",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 C ST STE 130",
"city": "GALT",
"state": "CA",
"postal_code": "956322802",
"telephone_number": "209-745-5802",
"fax_number": "209-745-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIKITA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galt, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.