Provider Demographics
NPI:1578233219
Name:PACHIKARA, PRIYA (DPT)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:
Last Name:PACHIKARA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MUSTANG DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4602
Mailing Address - Country:US
Mailing Address - Phone:214-682-8679
Mailing Address - Fax:
Practice Address - Street 1:5520 S WESTMORELAND RD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-1800
Practice Address - Country:US
Practice Address - Phone:214-467-8210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1351447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist