Active NPI
Krupa Komal Patel
- Physical Therapist
- Columbus, OH
National Provider Identifier
1891289062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003903
- Practice address
- 1833 Hard Rd
Columbus, OH 43235-5927 - Phone
- (330) 780-6006
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P18739 | NC | |
| Physical Therapist | 225100000X | J1-0003903 | DE | Primary |
Addresses
Primary practice location
1833 Hard Rd
Columbus, OH 43235-5927
Mailing address
4616 Napa Oak Dr
Charlotte, NC 28216-8026
Phone (330) 780-6006
Other practice location 1
3800 Shamrock Dr
Charlotte, NC 28215-3220
Phone (330) 780-6006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J1-0003903 | Medicaid | DE | |
| P18739 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18739 | NC | MD | Physical Medicine & Rehabilitation Physician |
| J1-0003903 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1891289062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 NAPA OAK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168026",
"telephone_number": "330-780-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 HARD RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432355927",
"telephone_number": "330-780-6006"
}
],
"practiceLocations": [
{
"address_1": "3800 Shamrock Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282153220",
"country_code": "US",
"telephone_number": "330-780-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KRUPA",
"middle_name": "KOMAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "P18739",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J1-0003903",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P18739",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.