KALPANABEN M PATEL PT
NPI 1881306827
Physical Therapist in Peoria, IL

Active since December 21, 2022Accepts Medicare Assignment
3525 N UNIVERSITY ST, PEORIA, IL 61604(309) 886-9172(309) 509-4045 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2022, Dec 21, 2022 (2 updates tracked since 2022).

About Kalpanaben M Patel Pt NPPES

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

KALPANABEN M PATEL PT (NPI 1881306827) is an individual physical therapist in Peoria, Illinois, licensed in Illinois (070026815) and active in the NPI registry since December 2022. She maintains a secondary practice location in Morton and is a graduate of Other (2014).

NPPES Registry Identity

NPI1881306827
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKALPANABEN M PATELCredential: PT
Location Address3525 N UNIVERSITY STPeoria, IL 61604-1324
Mailing AddressPo Box 9727Peoria, IL 61612-9727 · (309) 886-9172
Fax(309) 509-4045
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 21, 2022
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1881306827 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 IL · 070026815
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 ListedRespiratory Therapist, RegisteredTaxonomy 227900000X · License 194011793 (IL)
3525 N UNIVERSITY ST, Peoria, IL 61604

Secondary Practice Location 1

Location 1947 W Jackson StMorton, IL 61550-1567 · Phone (309) 266-1672

Accepted Insurance

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

Kalpanaben M 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 ID1052781069
PECOS Enrollment IDI20230109002948

Areas of Expertise CMS Part B claims 5

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 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.
325 services35 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.
143 services24 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
93 services27 patients
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.
77 services18 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.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 18

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

Audiologist-Hearing Aid Fitter
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pediatrics
3525 N UNIVERSITY ST
PEORIA, IL 61604
Clinical Nurse Specialist (Adult Health)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pharmacy (Clinic Pharmacy)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pharmacist
3525 N UNIVERSITY ST
PEORIA, IL 61604
Family Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Emergency Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Nurse Practitioner (Family)
3525 N UNIVERSITY ST
PEORIA, IL 61604

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 Kalpanaben Patel's NPI number?

The NPI number for Kalpanaben Patel is 1881306827. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Kalpanaben Patel located?

Kalpanaben Patel practices at 3525 N University St, Peoria, IL 61604. The listed phone number is (309) 886-9172.

What is Kalpanaben Patel's specialty?

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

Is Kalpanaben Patel enrolled in Medicare?

Yes. Kalpanaben 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.

What insurance does Kalpanaben Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kalpanaben 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 Kalpanaben Patel was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.