PINAL PATEL DPT
NPI 1356856587
Physical Therapist in Horsham, PA

Active since December 11, 2017Accepts Medicare Assignment
96.11/100
CMS Quality Rating
575 HORSHAM RD UNIT B16, HORSHAM, PA 19044(215) 394-5893(267) 803-6771 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Jul 15, 2021, Dec 11, 2017 (3 updates tracked since 2017).

About Pinal Patel Dpt NPPES

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

PINAL PATEL DPT (NPI 1356856587) is an individual physical therapist in Horsham, Pennsylvania, licensed in Pennsylvania (PT026500) and active in the NPI registry since December 2017. She maintains 4 additional practice locations and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356856587
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NamePINAL PATELCredential: DPT
Location Address575 HORSHAM RD UNIT B16Horsham, PA 19044-1760
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224 · (914) 294-4050 · Fax (631) 760-8306
Fax(267) 803-6771
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 11, 2017
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
NPI 1356856587 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
Licenses Licensed in PA · PT026500 Licensed in NJ · 40QA01912600
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.
575 HORSHAM RD UNIT B16, Horsham, PA 19044

Secondary Practice Locations 4

Location 1300 Princeton Hightstown Rd Ste 201East Windsor, NJ 08520-1411 · Phone (609) 426-4442 · Fax (609) 443-0910
Location 24709 Kirkwood HwyWilmington, DE 19808-5007 · Phone (302) 998-9880 · Fax (302) 998-7498
Location 3120 Pheasant RunNewtown, PA 18940-1821 · Phone (215) 944-6031 · Fax (267) 434-3075
Location 417 Blacksmith Rd Ste 116Newtown, PA 18940-1848 · Phone (215) 383-3133 · Fax (215) 383-3132

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

Pinal 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 ID9931460136
PECOS Enrollment IDI20210722000138

Areas of Expertise CMS Part B claims 7

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.
610 services95 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.
553 services94 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.
491 services96 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
423 services74 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
66 services14 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.43
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%83 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
575 HORSHAM RD UNIT B16
HORSHAM, PA 19044
Physical Therapist
575 HORSHAM RD UNIT B16
HORSHAM, PA 19044
Physical Therapist
575 HORSHAM RD UNIT B16
HORSHAM, PA 19044
Physical Therapy Assistant
575 HORSHAM RD UNIT B16
HORSHAM, PA 19044

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 Pinal Patel's NPI number?

The NPI number for Pinal Patel is 1356856587. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Pinal Patel located?

Pinal Patel practices at 575 Horsham Rd Unit B16, Horsham, PA 19044. The listed phone number is (215) 394-5893.

What is Pinal Patel's specialty?

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

Is Pinal Patel enrolled in Medicare?

Yes. Pinal 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.

When was this NPI record last updated?

The NPPES record for Pinal Patel was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.