MR. KELAN PATEL OT
NPI 1720469307
Occupational Therapist in Bolingbrook, IL

Active since June 09, 2015Accepts Medicare Assignment
400 N SCHMIDT RD STE 201, BOLINGBROOK, IL 60440(855) 808-4442 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kelan Patel Ot NPPES

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

MR. KELAN PATEL OT (NPI 1720469307) is an individual occupational therapist in Bolingbrook, Illinois, licensed in Illinois (056006054) and active in the NPI registry since June 2015. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1720469307
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. KELAN PATELCredential: OT
Location Address400 N SCHMIDT RD STE 201Bolingbrook, IL 60440-1795
Mailing Address400 N Schmidt Rd Ste 201Bolingbrook, IL 60440-1795 · (855) 808-4442
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 9, 2015
✔ NPI 1720469307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IL · 056006054
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
400 N SCHMIDT RD STE 201, Bolingbrook, IL 60440

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

Mr. Kelan Patel Ot 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 ID6608858295
PECOS Enrollment IDI20040607000614

Medicare Billing Reassignments

2

Medicare enrollment records show Kelan 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
140 E BOUGHTON RD
Bolingbrook, IL 60440
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
Physical Therapist
3124 S ROUTE 59 STE 130
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1275259731 (Illinois)
  • 6 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.

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 Kelan Patel's NPI number?

The NPI number for Kelan Patel is 1720469307. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Kelan Patel located?

Kelan Patel practices at 400 N Schmidt Rd Ste 201, Bolingbrook, IL 60440. The listed phone number is (855) 808-4442.

What is Kelan Patel's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kelan Patel enrolled in Medicare?

Yes. Kelan 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 Kelan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelan Patel reassigns Medicare benefits to 2 organizations: Third Eye Bliss Pt 1 LLC (Bolingbrook, IL) and Third Eye Bliss Investments, Inc. (Naperville, IL). 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 Kelan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelan Patel was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.