NPI Code Detail JSON Logo

1619634946 NPI number — KAUSHAL PATEL DPT

NPI Number: 1619634946
Health Care Provider/Practitioner: KAUSHAL PATEL DPT

Information about “1619634946” NPI (KAUSHAL PATEL DPT) exists in 1619634946 in HTML format HTML  |  1619634946 in plain Text format TXT  |  1619634946 in PDF (Portable Document Format) PDF  |  1619634946 in an XML format XML  formats.

NPI Number : 1619634946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619634946",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATEL",
    "FirstName": "KAUSHAL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4870 DEER LAKE DR E STE 4303",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32246-6321",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-220-6850",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4776 HODGES BLVD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32224-7218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-223-2363",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/22/2021",
    "LastUpdateDate": "09/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.