Provider Demographics
NPI:1033308127
Name:SHETH, PURVI (MSPT)
Entity Type:Individual
Prefix:MS
First Name:PURVI
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 9TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4202
Mailing Address - Country:US
Mailing Address - Phone:202-656-8184
Mailing Address - Fax:202-600-7627
Practice Address - Street 1:1218 9TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4202
Practice Address - Country:US
Practice Address - Phone:202-656-8184
Practice Address - Fax:202-600-7627
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT8704912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic