MEDICARE: SMITKUMAR PATEL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P24497	NC

General Provider Information

NPI Number	:	1851256960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMITKUMAR PATEL PT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4144 MENDENHALL OAKS PKWY STE 101
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8414
Country	:	US
Telephone Number	:	336-804-3004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “ SMITKUMAR PATEL PT” Practice Location

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