Individual provider Active NPI

Shital Patel

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1962044503
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27671 Issued in MD
Practice address
17216 Founders Mill Dr
Rockville, MD 20855-2535
Phone
(630) 809-6511
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 27671 MD Primary

Addresses

Primary practice location

17216 Founders Mill Dr
Rockville, MD 20855-2535

Mailing address

17216 Founders Mill Dr
Rockville, MD 20855-2535

Other practice location 1

10750 Rhode Island Ave
Beltsville, MD 20705-2513
Phone (301) 937-1632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210000139 DC Practitioner - Physical Therapist in Private Practice 2264865054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as group
Quality
80.56
Improvement activities
40
Cost
71.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27671MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Therapeutix and Consulting LLC Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients
Evidence Physical Therapy, LLC Physical Therapist CurrentSince Oct 12, 2019 Accepting new patients

Locations

10750 Rhode Island Ave
Beltsville, MD 20705
Phone (301) 332-8441

12150 Annapolis Rd
Ste 201
Glenn Dale, MD 20769
Phone (301) 352-8370

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1962044503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 FOUNDERS MILL DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17216 FOUNDERS MILL DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552535",
            "telephone_number": "630-809-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10750 Rhode Island Ave",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207052513",
            "country_code": "US",
            "telephone_number": "301-937-1632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHITAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.