MEDICARE: RIYA 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	050369	NY
2	225100000X	Physical Therapist	PT018062	GA

General Provider Information

NPI Number	:	1912891110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIYA PATEL PT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 LAKE JOY RD STE D
Second Line	:
City	:	KATHLEEN
State	:	GA
Zip	:	31047-2382
Country	:	US
Telephone Number	:	478-313-5385
Fax Number	:

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

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	10/13/2025

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Directions to “ RIYA PATEL PT” Practice Location

Language	Start Address	Practice Location

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