Provider Demographics
NPI:1396981080
Name:SAXENA, DEEPIKA GOYAL (PT,DPT)
Entity type:Individual
Prefix:MS
First Name:DEEPIKA
Middle Name:GOYAL
Last Name:SAXENA
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 1:3128 SENTINEL FERRY LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7522
Mailing Address - Country:US
Mailing Address - Phone:408-317-8960
Mailing Address - Fax:
Practice Address - Street 1:519 KEISLER DR STE 102
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7098
Practice Address - Country:US
Practice Address - Phone:919-851-6740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT35253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA556567Medicare Oscar/Certification