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NPI Code Detail

MEDICARE: SHREYA PIYUSHKUMAR MEHTA

MEDICARE: SHREYA PIYUSHKUMAR 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 Therapist

General Provider Information

NPI Number : 1760295448
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREYA PIYUSHKUMAR MEHTA
Provider Business Mailing Address
First Line : 2600 COMPASS RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9601 SOUTHBROOK DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0601
Country : US
Telephone Number : 717-640-5782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ SHREYA PIYUSHKUMAR MEHTA ” Practice Location

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