Healthcare Provider Details

I. General information

NPI: 1932016045
Provider Name (Legal Business Name): ARYAA VISHWAJEET PATADE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 S DALE MABRY HWY
TAMPA FL
33629-8639
US

IV. Provider business mailing address

109 W FORTUNE ST APT 2319
TAMPA FL
33602-3230
US

V. Phone/Fax

Practice location:
  • Phone: 813-837-3060
  • Fax:
Mailing address:
  • Phone: 408-446-2464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45346
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: