Provider Demographics
NPI:1164307666
Name:PATEL, KAVYA HITENDRABHAI
Entity type:Individual
Prefix:
First Name:KAVYA
Middle Name:HITENDRABHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 BEACON AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3542
Mailing Address - Country:US
Mailing Address - Phone:667-369-9518
Mailing Address - Fax:667-369-9518
Practice Address - Street 1:700 UTICA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2230
Practice Address - Country:US
Practice Address - Phone:347-663-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty