Healthcare Provider Details

I. General information

NPI: 1962520817
Provider Name (Legal Business Name): TRUPTI B MEHTA P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 19TH STREET NW SUITE 605
WASHINGTON DC
20036
US

IV. Provider business mailing address

900 N RANDOLPH ST APT 1709
ARLINGTON VA
22203-1949
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-1003
  • Fax:
Mailing address:
  • Phone: 919-302-5091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT870966
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: