Dipendra Gautam Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIPENDRA GAUTAM PHYSICAL THERAPY INC

Practice address

502 Traverse Dr S
Madera, CA 93636-9038

Phone

(559) 396-4681

NPI assigned

Apr 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dipendra Gautam, DPT

Title

Physical Therapist

Phone

(703) 626-9334

Specialties & licenses 1

Addresses

Other names 1

• Kinesis Plus Physical Therapy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1831944875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 TRAVERSE DR S",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369038",
            "telephone_number": "595-396-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 TRAVERSE DR S",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369038",
            "telephone_number": "559-396-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPENDRA GAUTAM PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "GAUTAM",
        "authorized_official_first_name": "DIPENDRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-626-9334",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinesis Plus Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Dieckmann, PHARMD
• Jessica Dillon-Stathacopulos
• Zeeshawn Din
• Jenni Ann Dinis, MSN, FNP-C
• Debbie C Dinoto, LMFT
• Mercedes Adeidra Brooke Dobson-Brazier, PT, DPT
• Doctoors Medical Group PC
• Madison Dodds, MS, CGC
• Martha Dominguez Piceno, FNP
• Victoria Dominguez, LCSW

• Physical Therapist in Madera, CA
• Providers in Madera, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.