Active NPI
Deepa Patel, PT
- Pediatric Physical Therapist
- Syosset, NY
National Provider Identifier
1780975409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 017475-1
- Practice address
- 390 Berry Hill Rd
Syosset, NY 11791-1122 - Phone
- (516) 754-6656
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 017475-1 | NY | Primary |
Addresses
Primary practice location
390 Berry Hill Rd
Syosset, NY 11791-1122
Mailing address
390 Berry Hill Rd
Syosset, NY 11791-1122
Phone (516) 754-6656
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 |
|---|---|---|---|
| 017475-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1780975409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 BERRY HILL RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117911122",
"telephone_number": "516-754-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 BERRY HILL RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117911122",
"telephone_number": "516-754-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEEPA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "017475-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.