Active NPI
Nandit Dhavalbhai Patel
- Sports Physical Therapist
- Troy, MI
National Provider Identifier
1841077229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- P22643
- Practice address
- 4603 Bonniebrook Dr
Troy, MI 48098-4603 - Phone
- (248) 633-6335
- NPI assigned
- Sep 11, 2023
- Last updated
- Mar 5, 2025
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | P22643 | NC | Primary |
Addresses
Primary practice location
4603 Bonniebrook Dr
Troy, MI 48098-4603
Mailing address
4603 Bonniebrook Dr
Troy, MI 48098-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231115001872 | NC | Practitioner - Physical Therapist in Private Practice | 7911354725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22643 | NC | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1841077229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 BONNIEBROOK DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4603 BONNIEBROOK DR",
"city": "TROY",
"state": "MI",
"postal_code": "480984603",
"telephone_number": "248-633-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NANDIT",
"middle_name": "DHAVALBHAI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P22643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.