MEDICARE: DISHA S PATEL PT, DPT

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	051064	NY
2	225100000X	Physical Therapist	PT032710	PA

General Provider Information

NPI Number	:	1851148407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DISHA S PATEL PT, DPT

Provider Business Mailing Address
First Line	:	543 WHEELER AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18510-2348
Country	:	US
Telephone Number	:	570-862-0340
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 N MAIN ST STE 100
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-1949
Country	:	US
Telephone Number	:	570-208-2787
Fax Number	:

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

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/07/2026

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Directions to “ DISHA S PATEL PT, DPT” Practice Location

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