Provider Demographics
NPI:1952454696
Name:BHATT, SANAT R (PT, MS)
Entity Type:Individual
Prefix:MR
First Name:SANAT
Middle Name:R
Last Name:BHATT
Suffix:
Gender:M
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 882
Mailing Address - Street 2:2313 S. EDDY
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-0882
Mailing Address - Country:US
Mailing Address - Phone:432-447-2244
Mailing Address - Fax:432-447-4080
Practice Address - Street 1:2315 S EDDY ST
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-7511
Practice Address - Country:US
Practice Address - Phone:432-447-2244
Practice Address - Fax:432-447-4080
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX087722701Medicaid
TX650405OtherBLUECROSS SHIELD
TX752214119OtherCOMMERCIAL
TX752214119OtherCOMMERCIAL