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NPI Code Detail

MEDICARE: NIKETA MEHTA

MEDICARE: NIKETA MEHTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist21120MA

General Provider Information

NPI Number : 1194207688
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKETA MEHTA
Provider Business Mailing Address
First Line : 4 CRICKET LANE
Second Line :
City : TYNGSBOROUGH
State : MA
Zip : 01879
Country : US
Telephone Number : 404-644-8952
Fax Number :
Provider Business Practice Location Address
First Line : 254 BILLERICA RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-4114
Country : US
Telephone Number : 978-256-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2018
Last Update Date : 04/15/2025

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Directions to “ NIKETA MEHTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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