Provider Demographics
NPI:1043464126
Name:PATEL, JALPA K (PT)
Entity Type:Individual
Prefix:MRS
First Name:JALPA
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JALPA
Other - Middle Name:R
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13903 MOWBRAY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1543
Mailing Address - Country:US
Mailing Address - Phone:201-931-5635
Mailing Address - Fax:
Practice Address - Street 1:13903 MOWBRAY CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1543
Practice Address - Country:US
Practice Address - Phone:201-931-5635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030103174400000X
TX1215410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist