MEDICARE: PRIYANKA D PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTT43128	FL

General Provider Information

NPI Number	:	1275324469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYANKA D PATEL

Provider Business Mailing Address
First Line	:	454 GRAND VISTA BLVD
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34212-3611
Country	:	US
Telephone Number	:	216-835-1279
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 CORTARO DR
Second Line	:
City	:	SUN CITY CTR
State	:	FL
Zip	:	33573-6812
Country	:	US
Telephone Number	:	813-773-7273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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Directions to “ PRIYANKA D PATEL ” Practice Location

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