Kalika Agrawal, PT
Individual provider Active NPI Physical Therapist · Philadelphia, PA
NPI 1669790705 · NPPES record last updated May 13, 2010
Key facts
- NPI
- 1669790705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-020478 (PA)
- Practice address
- 1107-11 East Erie Ave
Philadelphia, PA 19124 - Phone
- (215) 743-3699
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-020478 | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-020478 | PA | Yes |
Addresses
Primary practice location
1107-11 East Erie Ave
Philadelphia, PA 19124
Mailing address
2200 Benjamin Franklin Pkwy
Apt 1907E
Philadelphia, PA 19130-3601
Phone (240) 447-0226
Other providers in Philadelphia, PA
- David Agosto
- Omar Agosto
- Natalie Agramonte
- Anita Agrawal
- Durgesh Kumar Agrawal
- Nikita Agrawal
- Shefali Agrawal
- Sundeep Agrawal
- Anne Carlyle Agre
- Bronia Agress
All providers in Philadelphia, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2010. 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.