Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amita Patel

Individual provider Physical Therapist · NPI 1508259094

Amita Patel is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

7525 E Broadway Rd Ste 6
Mesa, AZ 85208-2002
Phone: (480) 354-2911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11281 (AZ)

Record details

NPI number1508259094
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2015
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address1234 Whitefish Stage, Kalispell, MT 59901-2753

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mesa