Provider Demographics
NPI:1841728425
Name:BAROT, BRIJIL KISAN (FCCPT)
Entity type:Individual
Prefix:
First Name:BRIJIL
Middle Name:KISAN
Last Name:BAROT
Suffix:
Gender:F
Credentials:FCCPT
Other - Prefix:
Other - First Name:BRIJIL
Other - Middle Name:KAMLESHKUMAR
Other - Last Name:BRAHMBHATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 E CASS ST
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2122
Mailing Address - Country:US
Mailing Address - Phone:231-942-9018
Mailing Address - Fax:
Practice Address - Street 1:400 HOBART ST
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2331
Practice Address - Country:US
Practice Address - Phone:231-949-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501018156225100000X
PA029915225100000X
NY043598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist