Healthcare Provider Details

I. General information

NPI: 1982720942
Provider Name (Legal Business Name): KARUNA D PATEL P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 CLEMENT ST
SAN FRANCISCO CA
94118-2115
US

IV. Provider business mailing address

1124 CLEMENT ST
SAN FRANCISCO CA
94118-2115
US

V. Phone/Fax

Practice location:
  • Phone: 626-641-5025
  • Fax: 888-527-9119
Mailing address:
  • Phone: 415-592-3937
  • Fax: 888-527-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT23219
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT23219
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT23219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: