Provider Demographics
NPI:1598449506
Name:PATEL, BHUMI BHUPENDRA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:BHUMI
Middle Name:BHUPENDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N KROME AVE
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2431
Mailing Address - Country:US
Mailing Address - Phone:786-282-6057
Mailing Address - Fax:
Practice Address - Street 1:15600 SW 288TH ST STE 202&206
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1243
Practice Address - Country:US
Practice Address - Phone:305-242-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist