Provider Demographics
NPI:1982934436
Name:PARIKH, CHIRAG NIKUNJKUMAR (PT)
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:NIKUNJKUMAR
Last Name:PARIKH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BUTTERNUT LN
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-4289
Mailing Address - Country:US
Mailing Address - Phone:609-903-6565
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:825 CROMWELL AVE STE Q
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3013
Practice Address - Country:US
Practice Address - Phone:860-257-3779
Practice Address - Fax:860-257-3780
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031787225100000X
CT009169225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400073916Medicare PIN
NYG400076908Medicare PIN
NYA400021317Medicare PIN