HINAL PATEL
NPI 1093506149
Physical Therapist in Manor, TX

Active since May 16, 2025Accepts Medicare Assignment
12700 LEXINGTON ST UNIT 260, MANOR, TX 78653(737) 297-9686 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hinal Patel NPPES

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

HINAL PATEL (NPI 1093506149) is an individual physical therapist in Manor, Texas and active in the NPI registry since May 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1093506149
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHINAL PATEL
Location Address12700 LEXINGTON ST UNIT 260Manor, TX 78653-2012
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211 · (866) 370-8206
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1093506149 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
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.
12700 LEXINGTON ST UNIT 260, Manor, TX 78653

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hinal Patel 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 ID1355851510
PECOS Enrollment IDI20250608000004

Medicare Billing Reassignment

Medicare enrollment records show Hinal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
4709 W PARKER RD STE 460
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 561 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78653 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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 2

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

Physical Therapist
12700 LEXINGTON ST UNIT 260
MANOR, TX 78653
Physical Therapist
12700 LEXINGTON ST UNIT 260
MANOR, TX 78653

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 Hinal Patel's NPI number?

The NPI number for Hinal Patel is 1093506149. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Hinal Patel located?

Hinal Patel practices at 12700 Lexington St Unit 260, Manor, TX 78653. The listed phone number is (737) 297-9686.

What is Hinal Patel's specialty?

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

Is Hinal Patel enrolled in Medicare?

Yes. Hinal 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.

Which organization bills Medicare for Hinal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hinal Patel reassigns Medicare benefits to Ideal Physical Therapy Of Texas LLC (Plano, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hinal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hinal Patel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Hinal 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 Hinal Patel was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.