Healthcare Provider Details

I. General information

NPI: 1871337048
Provider Name (Legal Business Name): DHRUTI PATEL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 JOHNSON FERRY RD STE 100
MARIETTA GA
30062-9112
US

IV. Provider business mailing address

85 BRYSON LNDG SW
LILBURN GA
30047-3983
US

V. Phone/Fax

Practice location:
  • Phone: 770-415-4815
  • Fax:
Mailing address:
  • Phone: 404-394-5529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: