Provider Demographics
NPI:1316151905
Name:PARIKH, KAVITA (OTR-L, ATP)
Entity type:Individual
Prefix:
First Name:KAVITA
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:OTR-L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16036 N 11TH AVE UNIT 1025
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-8201
Mailing Address - Country:US
Mailing Address - Phone:480-636-0589
Mailing Address - Fax:888-351-6583
Practice Address - Street 1:16036 N 11TH AVE UNIT 1025
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-8201
Practice Address - Country:US
Practice Address - Phone:480-636-0589
Practice Address - Fax:888-351-6583
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3485225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ942442Medicaid