Healthcare Provider Details

I. General information

NPI: 1669282224
Provider Name (Legal Business Name): SHUBHREET SANDHU PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8222 N BELT LINE RD STE 175
IRVING TX
75063-2276
US

IV. Provider business mailing address

2588 N HOUSTON ST APT 915
DALLAS TX
75219-7821
US

V. Phone/Fax

Practice location:
  • Phone: 972-241-9334
  • Fax:
Mailing address:
  • Phone: 786-574-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number1398762
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: