Individual provider Active NPI

Nipa Patel

  • Physical Therapist
  • Commerce, GA
National Provider Identifier
1982034633
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035575 Issued in NY
Practice address
199 W W Gary Rd
Commerce, GA 30529-1241
Phone
(706) 419-0416
NPI assigned
Nov 16, 2013
Last updated
Nov 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

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 035575 NY Primary

Addresses

Primary practice location

199 W W Gary Rd
Commerce, GA 30529-1241

Mailing address

2820 Bethesda CT
Lawrenceville, GA 30044-3590
Phone (404) 425-0773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226001191 GA Practitioner - Physical Therapist in Private Practice 9436386299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Norcross, GA 30093
Phone (770) 279-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035575NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Therapy Services, Inc. Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients

Locations

3039 Sandy Plains Rd
Marietta, GA 30066
Phone (678) 249-7120

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sandy Springs Center for Nursing and Healing LLCAtlanta, GA, CCN 115504 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2022
May 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384560000000",
    "number": "1982034633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BETHESDA CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443590",
            "telephone_number": "404-425-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W W GARY RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291241",
            "telephone_number": "706-419-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

Verify at the official NPI Registry.