Healthcare Provider Details

I. General information

NPI: 1962287599
Provider Name (Legal Business Name): DHARABEN PATEL PT, DPT,CERT. DN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20771 W 188TH ST
SPRING HILL KS
66083-6114
US

IV. Provider business mailing address

20771 W 188TH ST
SPRING HILL KS
66083-6114
US

V. Phone/Fax

Practice location:
  • Phone: 224-200-4611
  • Fax:
Mailing address:
  • Phone: 224-200-4611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-08131
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12760
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: