Provider Demographics
NPI:1942503693
Name:VYAS-DESAI, VIDHI NIRMIT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:VIDHI
Middle Name:NIRMIT
Last Name:VYAS-DESAI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8748 MAJORS CIR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1643
Mailing Address - Country:US
Mailing Address - Phone:516-528-3350
Mailing Address - Fax:
Practice Address - Street 1:966 N GARDEN RIDGE BLVD STE 530
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2876
Practice Address - Country:US
Practice Address - Phone:972-420-6605
Practice Address - Fax:844-364-1306
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0321952251P0200X
TX1285763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics