Active NPI
Bhoomi Mukeshkumar Patel, PT
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1932580149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11444
- Practice address
- 3250 S Arizona Ave
Apt 2019
Chandler, AZ 85248-2705 - Phone
- (857) 203-1671
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- 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 | 11444 | AZ | Primary |
Addresses
Primary practice location
3250 S Arizona Ave
Apt 2019
Chandler, AZ 85248-2705
Mailing address
3250 S Arizona Ave
Apt 2019
Chandler, AZ 85248-2705
Phone (857) 203-1671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11444 | Other | AZ | ARIZONA BOARD OF PT |
Other names 1
- Bhoomi Mukesh Patel
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11444 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients | |
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Phoenix, AZ
- NPI 1114921871
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1699779223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1932580149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 S ARIZONA AVE",
"address_2": "APT 2019",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852482705",
"telephone_number": "857-203-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 S ARIZONA AVE",
"address_2": "APT 2019",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852482705",
"telephone_number": "857-203-1671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHOOMI",
"middle_name": "MUKESHKUMAR",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF PT",
"identifier": "11444",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BHOOMI",
"last_name": "PATEL",
"middle_name": "MUKESH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.