Healthcare Provider Details

I. General information

NPI: 1376413534
Provider Name (Legal Business Name): SAKSHI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 SUMMIT AVE
JERSEY CITY NJ
07306-3705
US

IV. Provider business mailing address

20 CONGRESS ST APT 2
JERSEY CITY NJ
07307-1066
US

V. Phone/Fax

Practice location:
  • Phone: 551-355-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number051016
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02413100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: