Provider Demographics
NPI:1619484987
Name:UPADHYAY, TRIPTI (PT)
Entity Type:Individual
Prefix:
First Name:TRIPTI
Middle Name:
Last Name:UPADHYAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 FAIRMONT AVENUE, SUITE 302
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:
Practice Address - Street 1:2701 KIRKWOOD HWY LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4911
Practice Address - Country:US
Practice Address - Phone:302-668-1768
Practice Address - Fax:302-668-1794
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027670225100000X
DEJ1-0003442225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist