Active NPI
Pradeep Diwaker Pilakel, PT,MS,MCSP,DIPTP
- Physical Therapist
- Albemarle, NC
National Provider Identifier
1902853476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P4468
- Practice address
- 1003 N 2ND St
Albemarle, NC 28001-2801 - Phone
- (704) 982-3656
- Fax
- (704) 982-3657
- NPI assigned
- May 28, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P4468 | NC | Primary |
Addresses
Primary practice location
1003 N 2ND St
Albemarle, NC 28001-2801
Mailing address
824 East St
Albemarle, NC 28001-4132
Phone (704) 982-3656
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7210810 | Medicaid | NC | |
| 650022338 | Other | NC | RAILROAD MEDICARE PROV. # |
| 1115X | Other | NC | BCBS PROV. # |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pilakel'S Rehab Services, Inc. | Current | Accepting new patients |
Locations
1003 N 2nd St
Albemarle, NC 28001
Phone (704) 982-3656
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Albemarle, NC
- NPI 1447518634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1902853476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 EAST ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280014132",
"telephone_number": "704-982-3656",
"fax_number": "704-982-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012801",
"telephone_number": "704-982-3656",
"fax_number": "704-982-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILAKEL",
"first_name": "PRADEEP",
"middle_name": "DIWAKER",
"name_prefix": "Mr.",
"credential": "PT,MS,MCSP,DIPTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P4468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7210810",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV. #",
"identifier": "650022338",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV. #",
"identifier": "1115X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.