MEDICARE: MRS. VAGISHA VADHEL PT,MPT

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	PT29592	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT29592	OTHER	FL	PHYSICAL THERAPY STATE LICENSE

General Provider Information

NPI Number	:	1356047740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VAGISHA VADHEL PT,MPT

Provider Business Mailing Address
First Line	:	6712 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-4953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6107 MEMORIAL HWY STE D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4564
Country	:	US
Telephone Number	:	813-890-3400
Fax Number	:

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

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	12/23/2025

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