Individual provider Active NPI

Darshana Patel, RBT-18-58986

  • Occupational Therapist
  • Carol Stream, IL
National Provider Identifier
1841785649
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056014453 Issued in IL
Practice address
132 Horizon Cir
Carol Stream, IL 60188-1600
Phone
(331) 645-5111
NPI assigned
Jun 25, 2018
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056014453 IL Primary

Addresses

Primary practice location

132 Horizon Cir
Carol Stream, IL 60188-1600

Mailing address

132 Horizon Cir
Carol Stream, IL 60188-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240920000303 IL Practitioner - Occupational Therapist in Private Practice 6608317417 Reassigns benefits to 1 organization
I20241008003265 KS Practitioner - Occupational Therapist in Private Practice 6608317417 Reassigns benefits to 1 organization
I20241028000504 MO Practitioner - Occupational Therapist in Private Practice 6608317417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

1140 Collinsville Crossing Blvd
Collinsville, IL 62234-1880
Phone (618) 578-5900

2200 Barrett Station Rd
Suite 200
Ballwin, MO 63021-5893
Phone (314) 238-1130

7212 W 135TH St
Overland Park, KS 66223-1258
Phone (913) 275-5343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Sep 9, 2024 Accepting new patients
Athletico LTD Occupational Therapist Current Accepting new patients
Athletico LTD Occupational Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

1140 Collinsville Crossing Blvd
Collinsville, IL 62234
Phone (618) 578-5900

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

7212 W 135th St
Overland Park, KS 66223
Phone (913) 275-5343

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

2200 Barrett Station Rd
#200
Ballwin, MO 63021
Phone (314) 238-1130

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: darshana.patel.p2@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: darshana.patel.p7@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: darshana.patel.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1841785649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HORIZON CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HORIZON CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881600",
            "telephone_number": "331-645-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DARSHANA",
        "credential": "RBT-18-58986",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056014453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.