JINALBEN PRAVINKUMAR PATEL
NPI 1710445606
Physical Therapist in Stevens Point, WI

Active since March 09, 2019Accepts Medicare Assignment
93.54/100
CMS Quality Rating
825 WHITING AVE, STEVENS POINT, WI 54481(715) 346-1374 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2022, Jul 28, 2021, Mar 9, 2019 (3 updates tracked since 2019).

About Jinalben Pravinkumar Patel NPPES

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

JINALBEN PRAVINKUMAR PATEL (NPI 1710445606) is an individual physical therapist in Stevens Point, Wisconsin, licensed in Indiana (05013254A) and active in the NPI registry since March 2019. She maintains a secondary practice location in Fishers and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710445606
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJINALBEN PRAVINKUMAR PATEL
Location Address825 WHITING AVEStevens Point, WI 54481-5246
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 9, 2019
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1710445606 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 IN · 05013254A
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.
825 WHITING AVE, Stevens Point, WI 54481

Secondary Practice Location 1

Location 111570 E 126th StFishers, IN 46037-9592 · Phone (317) 579-0166

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

Jinalben Pravinkumar 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 ID840694527
PECOS Enrollment IDI20210803000259

Medicare Billing Reassignments

2

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

Physical Therapist
11570 E 126TH STREET
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 151 clinicians in this Medicare group
Physical Therapist
5949 W RAYMOND ST
Indianapolis, IN 46241
  • Reassigned Medicare billing, Indiana enrollment
  • 317 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 54481 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.4
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Skilled Nursing Facility
825 WHITING AVE
STEVENS POINT, WI 54481
Speech-Language Pathologist
825 WHITING AVE
STEVENS POINT, WI 54481
Hearing Instrument Specialist
825 WHITING AVE
STEVENS POINT, WI 54481
Physical Therapist
825 WHITING AVE
STEVENS POINT, WI 54481
Occupational Therapy Assistant
825 WHITING AVE
STEVENS POINT, WI 54481
Speech-Language Pathologist
825 WHITING AVE
STEVENS POINT, WI 54481
Physical Therapy Assistant
825 WHITING AVE
STEVENS POINT, WI 54481
Dietitian, Registered
825 WHITING AVE
STEVENS POINT, WI 54481

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 Jinalben Patel's NPI number?

The NPI number for Jinalben Patel is 1710445606. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Where is Jinalben Patel located?

Jinalben Patel practices at 825 Whiting Ave, Stevens Point, WI 54481. The listed phone number is (715) 346-1374.

What is Jinalben Patel's specialty?

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

Is Jinalben Patel enrolled in Medicare?

Yes. Jinalben 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 Jinalben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jinalben Patel reassigns Medicare benefits to 2 organizations: Creative Health Care Management LLC (Fishers, IN) and Advanced Physical Therapy, LLC (Indianapolis, IN). 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 Jinalben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jinalben Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jinalben 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 Jinalben Patel was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.