Healthcare Provider Details

I. General information

NPI: 1710436845
Provider Name (Legal Business Name): NISHA BHATT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NW CORPORATE BLVD STE 100W
BOCA RATON FL
33431-8501
US

IV. Provider business mailing address

110 SW 9TH AVE
BOCA RATON FL
33486-4520
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax: 561-705-7501
Mailing address:
  • Phone: 561-494-4499
  • Fax: 561-705-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NISHA BHATT
Title or Position: OWNER
Credential: PT,DPT
Phone: 561-494-4499