Individual provider Active NPI

Pradeep Diwaker Pilakel, PT,MS,MCSP,DIPTP

  • Physical Therapist
  • Albemarle, NC
National Provider Identifier
1902853476
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P4468 Issued in NC
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

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7210810MedicaidNC
650022338OtherNCRAILROAD MEDICARE PROV. #
1115XOtherNCBCBS 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

OrganizationSpecialtyStatusNew patients
Pilakel'S Rehab Services, Inc. CurrentSince Feb 6, 2000 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.

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.

Verify at the official NPI Registry.