Healthcare Provider Details

I. General information

NPI: 1447173976
Provider Name (Legal Business Name): POOJABEN PATEL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SYNERGY DR UNIT 412
CARY NC
27519-5443
US

IV. Provider business mailing address

215 SYNERGY DR UNIT 412
CARY NC
27519-5443
US

V. Phone/Fax

Practice location:
  • Phone: 302-596-4013
  • Fax:
Mailing address:
  • Phone: 302-596-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25029
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: