Individual provider Active NPI

Sagar Patel, MS.PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1780109561
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041015 Issued in NY
Practice address
139 Fulton Street
Suite # 208
New York, NY 10038-2538
Phone
(201) 377-8092
Fax
(845) 595-8220
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 041015 NY Primary

Addresses

Primary practice location

139 Fulton Street
Suite # 208
New York, NY 10038-2538

Mailing address

139 Fulton Street
Suite # 208
New York, NY 10038-2538
Phone (212) 729-8565

Other practice location 1

139 Fulton Street
Suite # 208
New York, NY 10038-2538
Phone (212) 729-8565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823003835 NY Practitioner - Physical Therapist in Private Practice 6406128537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

28 B Indian Rock
Montebello, NY 10901-4907
Phone (845) 368-2180

327 Route 59
Airmont, NY 10952-3420
Phone (845) 738-7351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041015NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 11, 2024 Accepting new patients
SP Physical Therapy Wellness, P.C. Current Accepting new patients
Montefiore Medical Center CurrentSince Nov 11, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

139 Fulton St
Rm 208
New York, NY 10038
Phone (212) 513-0437

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1780109561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FULTON STREET",
            "address_2": "SUITE # 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "212-729-8565",
            "fax_number": "845-595-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON STREET",
            "address_2": "SUITE # 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "201-377-8092",
            "fax_number": "845-595-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Fulton Street",
            "address_2": "Suite # 208",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382538",
            "country_code": "US",
            "telephone_number": "212-729-8565",
            "fax_number": "845-595-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAGAR",
        "name_prefix": "Dr.",
        "credential": "MS.PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.