Jital Patel, OTR/L, BCTS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17028 Issued in FL

Practice address

1999 Island Club Dr
Indialantic, FL 32903-2073

Phone

(201) 779-6392

NPI assigned

Aug 29, 2013

Last updated

May 12, 2020By 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 FL

Enrollment records 1

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.

• Coastal Occupational Therapy, LLC

  • Occupational Therapist
  • Indialantic, FL
  • NPI 1669004362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1841624699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 241",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 ISLAND CLUB DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032073",
            "telephone_number": "201-779-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JITAL",
        "credential": "OTR/L, BCTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "LP1351",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "17028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Associates 'LLC.'
• Daniel Palm, MD
• Renee Palmer-Smith, PHD
• Danielle Christin Palsis, PHARM.D.
• Mary Parker
• Barbara Michele Paulillo, PSY.D.
• Peregrine Health Services LLC
• Zeda Perez Tully
• Eric R Peters, PHARM.D.
• Jessica Piazza

• Occupational Therapist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.