Individual provider Active NPI

Nehali S Patel

  • Occupational Therapist
  • Clemmons, NC
National Provider Identifier
1922344605
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4573 Issued in NC
Practice address
4528 Carriagebrook CT
Clemmons, NC 27012-7512
Phone
(336) 473-1759
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4573 NC Primary

Addresses

Primary practice location

4528 Carriagebrook CT
Clemmons, NC 27012-7512

Mailing address

4528 Carriagebrook CT
Clemmons, NC 27012-7512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805003433 NC Practitioner - Occupational Therapist in Private Practice 9436696663 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4573NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Broad River Rehabilitation Occupational Therapist CurrentSince Jan 19, 2026 Accepting new patients

Locations

303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572

1 Pond St
Arden, NC 28704
Phone 82877452220027

9420 N NC Hwy 150
Clemmons, NC 27012
Phone (336) 775-2205

150 Ken Dwiggins Dr
Rm 101
Mocksville, NC 27028
Phone (336) 397-4100

337 Hospital St
Rm 100
Mocksville, NC 27028
Phone (336) 397-4991

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

Organizations & group practices 3

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": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1922344605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 CARRIAGEBROOK CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 CARRIAGEBROOK CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127512",
            "telephone_number": "336-473-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEHALI",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.