Individual provider Active NPI

Ashvinkumar Patel, PT

  • Physical Therapist
  • Hornell, NY
National Provider Identifier
1821869108
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
55 Broadway Mall
Hornell, NY 14843-1919
Phone
(607) 324-9344
Fax
(607) 324-9345
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 Primary

Addresses

Primary practice location

55 Broadway Mall
Hornell, NY 14843-1919

Mailing address

55 Broadway Mall
Hornell, NY 14843-1919
Phone (607) 324-9344

Other identifiers 1

IdentifierTypeStateIssuer
048564OtherNYNYS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000996 NY Practitioner - Physical Therapist in Private Practice 7911350970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple City Physical Therapy PLLCGroup PAC ID 4789800467, 7 clinicians

Practice addresses (Care Compare)

55 Broadway Mall
Hornell, NY 14843-1919
Phone (607) 324-9344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048564NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple City Physical Therapy, PLLC Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients

Locations

55 Broadway Mall
Hornell, NY 14843
Phone (607) 324-9344

Organizations & group practices 1

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1821869108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431919",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431919",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHVINKUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "048564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.