MEDICARE: NIKI NANDISH PATEL PT

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	308978	CA

General Provider Information

NPI Number	:	1932057429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKI NANDISH PATEL PT

Provider Business Mailing Address
First Line	:	15975 ALAMO CT
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91708-9723
Country	:	US
Telephone Number	:	714-600-4543
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 BEVERLY BLVD STE A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1033
Country	:	US
Telephone Number	:	818-363-3000
Fax Number	:	888-833-2881

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ NIKI NANDISH PATEL PT” Practice Location

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