Provider Demographics
NPI:1831652015
Name:BHATT, DRASHTI
Entity Type:Individual
Prefix:
First Name:DRASHTI
Middle Name:
Last Name:BHATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BLUE RIBBON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4274
Mailing Address - Country:US
Mailing Address - Phone:210-417-8387
Mailing Address - Fax:
Practice Address - Street 1:1200 WELSH RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3771
Practice Address - Country:US
Practice Address - Phone:215-361-3622
Practice Address - Fax:215-361-8580
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-13
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL34453225100000X
PAPT029385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist