Active NPI
Bhaumik J Patel
- Physical Therapist
- West Lafayette, IN
National Provider Identifier
1821423468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010187A
- Practice address
- 3401 Soldiers Home Rd
West Lafayette, IN 47906-1222 - Phone
- (765) 463-1541
- Fax
- (765) 497-0687
- NPI assigned
- Sep 12, 2013
- 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 | 05010187A | IN | Primary |
Addresses
Primary practice location
3401 Soldiers Home Rd
West Lafayette, IN 47906-1222
Mailing address
3928 Burberry Dr S
Apt 194
Lafayette, IN 47905-6577
Phone (765) 418-3515
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010187A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1821423468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3928 BURBERRY DR S",
"address_2": "APT 194",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056577",
"telephone_number": "765-418-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 SOLDIERS HOME RD",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061222",
"telephone_number": "765-463-1541",
"fax_number": "765-497-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHAUMIK",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010187A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.