Provider Demographics
NPI:1760932289
Name:DANI, DEEPESH HARENDRA (PT, DPT, MS)
Entity Type:Individual
Prefix:MR
First Name:DEEPESH
Middle Name:HARENDRA
Last Name:DANI
Suffix:
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 HIDDEN WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3500
Mailing Address - Country:US
Mailing Address - Phone:724-467-0337
Mailing Address - Fax:
Practice Address - Street 1:6509 HIDDEN WOODS TRL
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-3500
Practice Address - Country:US
Practice Address - Phone:724-467-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2022-07-19
Deactivation Date:2021-08-09
Deactivation Code:
Reactivation Date:2021-09-02
Provider Licenses
StateLicense IDTaxonomies
IN05009855A225100000X
NY031153225100000X
OHPT016768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist