Provider Demographics
NPI:1467697573
Name:PABREKAR, BHAKTI CHETAN (PT)
Entity Type:Individual
Prefix:MS
First Name:BHAKTI
Middle Name:CHETAN
Last Name:PABREKAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BHAKTI
Other - Middle Name:RAJARAM
Other - Last Name:AMBEKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65 PROSPECT STREET
Mailing Address - Street 2:APT 7N
Mailing Address - City:STANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901
Mailing Address - Country:US
Mailing Address - Phone:203-517-5327
Mailing Address - Fax:
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:BRONX LEBANON HOSPITAL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:203-653-3587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU2770890802OtherCIGNA