Individual provider Active NPI

Medhavibahen Patel, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1952878613
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1205123 Issued in TX
Practice address
5515 Glen Lakes Dr
Dallas, TX 75231-4309
Phone
(248) 346-2936
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 1205123 TX Primary

Addresses

Primary practice location

5515 Glen Lakes Dr
Dallas, TX 75231-4309

Mailing address

1832 Bachman CT
Plano, TX 75075-6159
Phone (248) 346-2936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001205 TX Practitioner - Physical Therapist in Private Practice 7214454743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Experts, PLLCGroup PAC ID 6002345683, 4 clinicians

Practice addresses (Care Compare)

1735 Keller Springs Rd
Suite 150
Carrollton, TX 75006-3007
Phone (469) 712-6661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1205123TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Experts, PLLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients

Locations

1735 Keller Springs Rd
Ste 150
Carrollton, TX 75006
Phone (469) 712-6661

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1952878613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 BACHMAN CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756159",
            "telephone_number": "248-346-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314309",
            "telephone_number": "248-346-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEDHAVIBAHEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1205123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.

Verify at the official NPI Registry.