Provider Demographics
NPI:1457676926
Name:PATEL, ROHIT D (PT)
Entity Type:Individual
Prefix:MR
First Name:ROHIT
Middle Name:D
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 1:12504 HUMMINGBIRD WAY
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-9686
Mailing Address - Country:US
Mailing Address - Phone:765-461-3156
Mailing Address - Fax:812-949-9050
Practice Address - Street 1:12504 HUMMINGBIRD WAY
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-9686
Practice Address - Country:US
Practice Address - Phone:765-461-3156
Practice Address - Fax:812-949-9050
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist