Provider Demographics
NPI:1134243025
Name:PARIKH, SARITA N (MSPT)
Entity type:Individual
Prefix:MISS
First Name:SARITA
Middle Name:N
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 BLACK FEATHER LOOP
Mailing Address - Street 2:#520
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-8008
Mailing Address - Country:US
Mailing Address - Phone:303-981-4470
Mailing Address - Fax:303-223-7608
Practice Address - Street 1:466 BLACK FEATHER LOOP
Practice Address - Street 2:#520
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-8008
Practice Address - Country:US
Practice Address - Phone:303-981-4470
Practice Address - Fax:303-223-7608
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT 64272251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79674763Medicaid