MEDICARE: MONIKA PATEL DPT

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1699122978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA PATEL DPT

Provider Business Mailing Address
First Line	:	800 CRESCENT CENTRE DR
Second Line	:	SUITE 600
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7269
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:	615-221-9054

Provider Business Practice Location Address
First Line	:	502 N MARKET ST STE 102
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405-4438
Country	:	US
Telephone Number	:	423-634-1922
Fax Number	:	423-634-1924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	10/31/2018

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