Healthcare Provider Details

I. General information

NPI: 1699707562
Provider Name (Legal Business Name): KAVITHA PARANJOTHI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3573 BRISTOL PIKE REAR 101
BENSALEM PA
19020-4666
US

IV. Provider business mailing address

3573 BRISTOL PIKE
BENSALEM PA
19020-4666
US

V. Phone/Fax

Practice location:
  • Phone: 267-312-3437
  • Fax: 267-930-6243
Mailing address:
  • Phone: 267-312-3437
  • Fax: 267-930-6243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01828200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017699
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: