Individual provider Active NPI

Shivani Patel, DPT

  • Physical Therapist
  • New Port Richey, FL
National Provider Identifier
1801673645
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40799 Issued in FL
Practice address
1807 Short Branch Dr Ste 103
New Port Richey, FL 34655-4424
Phone
(727) 372-0182
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 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 PT40799 FL Primary

Addresses

Primary practice location

1807 Short Branch Dr Ste 103
New Port Richey, FL 34655-4424

Mailing address

4501 Tubular Run
Land O Lakes, FL 34638-2762
Phone (713) 670-4251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000536 FL Practitioner - Physical Therapist in Private Practice 8527414754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. Current Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Sep 25, 2023 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Sep 25, 2023 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

1807 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 372-0182

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1801673645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 TUBULAR RUN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382762",
            "telephone_number": "713-670-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 103",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-372-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.