Healthcare Provider Details

I. General information

NPI: 1962334466
Provider Name (Legal Business Name): AKSHAY B PRAJAPATI PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 HADDONFIELD RD
CHERRY HILL NJ
08002-2602
US

IV. Provider business mailing address

8 ANNAPOLIS DR
MARLTON NJ
08053-3861
US

V. Phone/Fax

Practice location:
  • Phone: 856-531-1012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02419000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: