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

Individual provider Physical Therapist · NPI 1851612444

Poonam Gopal Patel, PT is a Physical Therapist in Private Practice in Glendale, New York. Qualified in 2006, 20 years ago. Practices with Re-Active Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6517 Myrtle Ave
Glendale, NY 11385-6248
Phone: (914) 497-1150
Fax: (914) 417-0912
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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 032709 (NY)

Record details

NPI number1851612444
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESFebruary 21, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Re-Active Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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