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

Komalben Sureshkumar Patel

Individual provider Physical Therapist · NPI 1053918953

Komalben Sureshkumar Patel is a Physical Therapist in Private Practice in Far Rockaway, New York. Qualified in 2022, 4 years ago. Practices with Sportsmed PT LLC, a 214-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

224 Beach 20th St
Far Rockaway, NY 11691-3618
Phone: (347) 926-4037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 764 E Thornwood Dr, South Elgin, IL 60177-3241 — (773) 219-9679

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044368 (NY)

Record details

NPI number1053918953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2020
Last updated in NPPESOctober 4, 2020
Certification dateOctober 4, 2020
Mailing address764 E Thornwood Dr, South Elgin, IL 60177-3241

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Far Rockaway