Provider Demographics
NPI:1083324644
Name:BAROT, BHOOMIKABEN DHAVAL (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:BHOOMIKABEN
Middle Name:DHAVAL
Last Name:BAROT
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:DR
Other - First Name:BHOOMIKABEN
Other - Middle Name:GUNVANTBHAI
Other - Last Name:BRAHMBHATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, PHD
Mailing Address - Street 1:2600 VENTURA DR APT 1133
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4035
Mailing Address - Country:US
Mailing Address - Phone:224-600-6882
Mailing Address - Fax:
Practice Address - Street 1:2600 VENTURA DR APT 1133
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4035
Practice Address - Country:US
Practice Address - Phone:224-600-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1339636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist