Active NPI
Kishan Patel, DPT
- Physical Therapy Clinic/Center
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT016239
- Practice address
- 475 S Main St
Hinesville, GA 31313-4312 - Phone
- (912) 368-4131
- NPI assigned
- Sep 9, 2022
- Last updated
- Sep 9, 2022
- 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 Therapy Clinic/Center | 261QP2000X | PT016239 | GA | Primary |
Addresses
Primary practice location
475 S Main St
Hinesville, GA 31313-4312
Mailing address
860 Forest St
Hinesville, GA 31313-4140
Phone (912) 321-8719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Center LLC | Physical Therapy | Current | Accepting new patients |
| Effingham Rehab Services, LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Physical Therapy | Current | Accepting new patients |
| Effingham Rehab Services, LLC | Current | Accepting new patients | |
| Effingham Rehab Services, LLC | Current | Accepting new patients | |
| Effingham Rehab Services, LLC | Past | Accepting new patients |
Locations
475 S Main St
Hinesville, GA 31313
Phone (912) 353-9378
172 Tower Rd
Jesup, GA 31545
Phone (912) 427-4290
936 S 1st St
Jesup, GA 31545
Phone (912) 427-3444
123 Canal St
Ste 203
Pooler, GA 31322
Phone (912) 388-1283
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
Physical Therapy
-
dba CORA Physical Therapy - Kingsland
- Rehabilitation Clinic/Center
- Kingsland, GA
- NPI 1780264994
-
dba CORA Physical Therapy - Brunswick
- Rehabilitation Clinic/Center
- Brunswick, GA
- NPI 1366016032
-
dba CORA Physical Therapy - Jesup
- Rehabilitation Clinic/Center
- Jesup, GA
- NPI 1831782887
-
dba CORA Physical Therapy - Pooler
- Rehabilitation Clinic/Center
- Pooler, GA
- NPI 1124541685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1912628769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 FOREST ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134140",
"telephone_number": "912-321-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S MAIN ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134312",
"telephone_number": "912-368-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KISHAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "GA",
"license": "PT016239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.