Vyoma Y Pathakjee, PT
Individual provider Active NPI Physical Therapist · Floyds Knobs, IN
NPI 1295950087 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295950087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05003124A (IN)
- Practice address
- 3505 Charlevoix CT
Floyds Knobs, IN 47119-9761 - Phone
- (812) 949-2291
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05003124A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003124A | IN | Yes |
Addresses
Primary practice location
3505 Charlevoix CT
Floyds Knobs, IN 47119-9761
Mailing address
3505 Charlevoix CT
Floyds Knobs, IN 47119-9761
Phone (812) 949-2291
Other providers in Floyds Knobs, IN
- Robert Joseph Naville III
- Nathan S Nevin
- Kayla Lee Newcomb
- NPF Foot and Ankle
- Kevin J Pangburn
- Adreian Alexander Paul
- Pediatric Specialty Rehab, Inc.
- Philip S Seng Inc
- Physician Associates of Floyds Knobs, LLC
- Alexis Marie Pittenger
All providers in Floyds Knobs, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.