Gunjan D Patel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5798 Issued in ID

Practice address

3645 E Overland Rd
Meridian, ID 83642-6751

Phone

(208) 593-5252

Fax

(208) 593-5251

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siddhivinayak, LLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10048/brand/1/csg/1/fhir/r4

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.

• Siddhivinayak, LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1336847342

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rjlft, LLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1811736382

  ID, Physical Therapist

  Medicare reassignment NPD
• Spine Institute of Idaho P a

  • Orthopaedic Surgery of the Spine Physician
  • Meridian, ID
  • NPI 1659380269

  ID

  Medicare reassignment NPD
• ZRJ Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1639365323

  ID, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1861987356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 S ASHCROFT WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426866",
            "telephone_number": "208-703-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426751",
            "telephone_number": "208-593-5252",
            "fax_number": "208-593-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GUNJAN",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michela Parrillo, MD
• Matti Partch
• Makayla Bree Partida
• M. Ryan Partin, PA
• Lindsey Marie Partridge-Gremmo, DPT
• Pathfinders Service Coordination, LLC
• Angelina Patterson, REGISTERED NURSE
• Richard J Patterson, LCSW
• Renee L Patton, RPH
• Elisa Naomi Pavlis, LPC

• All providers in Meridian, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; 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.