Active NPI
Bansi Mahesh Patel, DPT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1912475427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27789
- Practice address
- 161 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4314 - Phone
- (301) 694-8311
- Fax
- (240) 629-8549
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT027252 | PA | |
| Physical Therapist | 225100000X | 27789 | MD | Primary |
Addresses
Primary practice location
161 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4314
Mailing address
161 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4314
Phone (301) 694-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2040 Good Hope Rd
Enola, PA 17025-1237
Phone (717) 901-4230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27789 | MD | MD | Physical Therapist |
| PT027252 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients |
Locations
161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
Interoperability endpoints
- bansi.patel.1@3812.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Camp Hill, PA
- NPI 1386620755
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Orthopaedic Surgery Physician
- Frederick, MD
- NPI 1285068130
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1912475427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 THOMAS JOHNSON DR STE 100",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024314",
"telephone_number": "301-694-8311",
"fax_number": "240-629-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 THOMAS JOHNSON DR STE 100",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024314",
"telephone_number": "301-694-8311",
"fax_number": "240-629-8549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BANSI",
"middle_name": "MAHESH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027252",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.