Provider Demographics
NPI:1700931599
Name:DESAI, URVI (MSPT)
Entity Type:Individual
Prefix:
First Name:URVI
Middle Name:
Last Name:DESAI
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 1:2200 LOS RIOS BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3478
Mailing Address - Country:US
Mailing Address - Phone:972-509-5070
Mailing Address - Fax:972-509-1557
Practice Address - Street 1:2200 LOS RIOS BLVD STE 132
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3478
Practice Address - Country:US
Practice Address - Phone:972-509-5070
Practice Address - Fax:972-509-1557
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60649005225100000X
TX1362991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0364784OtherL & I
WA0364835OtherL & I
WA0364783OtherL & I
WA0364834OtherL & I