Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HINAL V PATEL PT
NPI 1306485289
Physical Therapist in North Merrick, NY

Active since December 25, 2019Accepts Medicare Assignment
389 MERRICK AVE, NORTH MERRICK, NY 11566(830) 243-2352 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Jan 29, 2026, Dec 25, 2019 (3 updates tracked since 2019).

About Hinal V Patel Pt NPPES

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

HINAL V PATEL PT (NPI 1306485289) is an individual physical therapist in North Merrick, New York, licensed in Texas (1349418) and active in the NPI registry since December 2019. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1306485289
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHINAL V PATELCredential: PT
Location Address389 MERRICK AVENorth Merrick, NY 11566-2723
Mailing Address1130 Larkin AveSeguin, TX 78155-7417 · (830) 243-2352
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 25, 2019
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1306485289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1349418
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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
389 MERRICK AVE, North Merrick, NY 11566

Other Identifiers 1

Other193990292910128NY · Aetna

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 V Patel Pt 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 ID4688020951
PECOS Enrollment IDI20231023001259

Medicare Billing Reassignments

2

Medicare enrollment records show Hinal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
3248 S PRESTON RD STE 100&110
Celina, TX 75009
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Physical Therapy
112 W QUEEN ISABELLA STE A
Port Isabel, TX 78578
  • Reassigned Medicare billing, Texas enrollment
  • 7 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 11566 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 11

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

Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Physician Assistant
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Nurse Practitioner (Family)
389 MERRICK AVE
MERRICK, NY 11566
Family Medicine (Adult Medicine)
389 MERRICK AVE
MERRICK, NY 11566

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 1306485289. It was assigned to this individual provider in the NPPES registry on December 25, 2019.

Where is Hinal Patel located?

Hinal Patel practices at 389 Merrick Ave, North Merrick, NY 11566. The listed phone number is (830) 243-2352.

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 organizations bill Medicare for Hinal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hinal Patel reassigns Medicare benefits to 2 organizations: Apexnetwork Texas, LLC (Celina, TX) and Apex Physical Therapy, LLC (Port Isabel, TX). Each 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 Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer 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 October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.