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NISHANT PATEL DPT
NPI 1053860007
Physical Therapist in New Albany, OH

Active since September 30, 2016Accepts Medicare Assignment
5040 FOREST DR, NEW ALBANY, OH 43054(614) 839-3211 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nishant Patel Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHANT PATEL DPT (NPI 1053860007) is an individual physical therapist in New Albany, Ohio, licensed in Ohio (015193) and active in the NPI registry since September 2016. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1053860007
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNISHANT PATELCredential: DPT
Location Address5040 FOREST DRNew Albany, OH 43054-8167
Mailing Address5040 Forest DrNew Albany, OH 43054-8167
Phone(614) 839-3211
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 30, 2016
✔ NPI 1053860007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in OH · 015193
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5040 FOREST DR, New Albany, OH 43054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nishant Patel Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789966060
PECOS Enrollment IDI20170120002378

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
587 services65 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
321 services64 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
237 services43 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
118 services14 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
32 services22 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW ALBANY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
5040 FOREST DR
NEW ALBANY, OH 43054
Franklin County (614) 546-4300
JENNIFER LYNN KIBBEY PA-C
Physician Assistant (Surgical)
5040 FOREST DR
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
DR. MARTIN T TAYLOR D.O.
Psychiatry & Neurology (Neurology)
5040 FOREST DR, SUITE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC.
Durable Medical Equipment & Medical Supplies
5040 FOREST DR, 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
KELLY WILLIAMS PT
Physical Therapist (Orthopedic)
5040 FOREST DR
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
BEACON ORTHOPAEDICS & SPORTS MEDICINE LTD
Orthopaedic Surgery (Sports Medicine)
5040 FOREST DR
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
TYLER HEDRICK PA
Physician Assistant
5040 FOREST DR
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
WENDY D SCHUEN MD
Dermatology
5040 FOREST DR, STE 150
NEW ALBANY, OH 43054
Franklin County (614) 775-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nishant Patel's NPI number?

The NPI number for Nishant Patel is 1053860007. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Nishant Patel located?

Nishant Patel practices at 5040 Forest Dr, New Albany, OH 43054. The listed phone number is (614) 839-3211.

What is Nishant Patel's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nishant Patel enrolled in Medicare?

Yes. Nishant Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nishant Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Molina Healthcare list Nishant Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nishant Patel was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.