Healthcare Provider Details

I. General information

NPI: 1629467188
Provider Name (Legal Business Name): RASHI PATEL, PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 08/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4129 WASKOM DR
PLANO TX
75024-7079
US

IV. Provider business mailing address

9720 COIT RD STE. 220, #219
PLANO TX
75025-5833
US

V. Phone/Fax

Practice location:
  • Phone: 972-905-3413
  • Fax: 972-382-9917
Mailing address:
  • Phone: 972-905-3413
  • Fax: 972-382-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number016518
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number016518
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHI PATEL
Title or Position: OWNER
Credential: OTR, PT
Phone: 972-905-3413