Individual provider Active NPI

Shail Patel, PT

  • Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1972151793
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042803 Issued in NY
Practice address
3075 Veterans Memorial Hwy Ste 101
Ronkonkoma, NY 11779-7600
Phone
(631) 805-2850
NPI assigned
Aug 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 042803 NY Primary

Addresses

Primary practice location

3075 Veterans Memorial Hwy Ste 101
Ronkonkoma, NY 11779-7600

Mailing address

130 Laidlaw Ave Apt 2
Jersey City, NJ 07306-2196
Phone (551) 263-4634

Other identifiers 1

IdentifierTypeStateIssuer
042803OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910002505 NY Practitioner - Physical Therapist in Private Practice 3678802048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
United Rehab Hands on Physical Therapy PLLCGroup PAC ID 2163957754, 2 clinicians

Practice addresses (Care Compare)

3075 Veterans Memorial Hwy
Suite 101
Ronkonkoma, NY 11779-7600
Phone (631) 805-2850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oyster Bay Physical Therapy, PC Physical Therapist CurrentSince Jun 5, 2024 Accepting new patients
Elmont Rehab PT PC Single Specialty CurrentSince Jul 28, 2019 Accepting new patients
United Rehab Hands on Physical Therapy, PLLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients

Locations

10408 Roosevelt Ave
Corona, NY 11368
Phone (718) 426-6500

265 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-4970

700 Horseblock Rd
Farmingville, NY 11738
Phone (631) 676-1739

3075 Veterans Memorial Hwy
Ste 101
Ronkonkoma, NY 11779
Phone (631) 389-4640

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1972151793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAIDLAW AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062196",
            "telephone_number": "551-263-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY STE 101",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797600",
            "telephone_number": "631-805-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAIL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "042803",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.