Healthcare Provider Details

I. General information

NPI: 1699371542
Provider Name (Legal Business Name): SOBHIT HARIBHAKTI DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 ROYALTON RD
NORTH ROYALTON OH
44133-4008
US

IV. Provider business mailing address

736 JEANETTE ST
BRUNSWICK OH
44212-2074
US

V. Phone/Fax

Practice location:
  • Phone: 440-230-1133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT018519
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: