Deepa V Patel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9626 Issued in SC

Practice address

440 Old Trolley Rd Ste D
Summerville, SC 29485-5685

Phone

(843) 871-3522

Fax

(843) 871-3523

NPI assigned

Mar 16, 2020

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Physical Therapy, LLCGroup PAC ID 1557452331, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Physical Therapy, LLC

  • Physical Therapist
  • Summerville, SC
  • NPI 1356544415
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1821624479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 OLD TROLLEY RD STE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855685",
            "telephone_number": "843-871-3522",
            "fax_number": "843-871-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD TROLLEY RD STE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855685",
            "telephone_number": "843-871-3522",
            "fax_number": "843-871-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Elms Plantation Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294067132",
            "country_code": "US",
            "telephone_number": "843-974-4097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9626",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "9626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia M Parrish, LPC
• Jacob Parsons, AU.D
• Adreanna Truesdell Paschal, M.A., CCC-SLP
• Kelly G Passarello, PA-C
• Passionate Care Plus Home Care LLC
• Dhruv Patel, MD
• Hardik Patel
• Jui Shailen Patel, DMD
• Krishnaben Patel, PT
• Kruti Patel

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.