Provider Demographics
NPI:1073159422
Name:PATEL, DHRUMIL YOGESHKUMAR (PT)
Entity Type:Individual
Prefix:MR
First Name:DHRUMIL
Middle Name:YOGESHKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 TYBEE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-2524
Mailing Address - Country:US
Mailing Address - Phone:256-244-1013
Mailing Address - Fax:
Practice Address - Street 1:182 TYBEE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35756-2524
Practice Address - Country:US
Practice Address - Phone:256-244-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2023-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist