Provider Demographics
NPI:1619393683
Name:THAKER, HEMISHA
Entity type:Individual
Prefix:
First Name:HEMISHA
Middle Name:
Last Name:THAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEMISHA
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 DICKERSON LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-4217
Mailing Address - Country:US
Mailing Address - Phone:224-436-0405
Mailing Address - Fax:877-497-1959
Practice Address - Street 1:1681 ROUTE 27 STE 101
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3493
Practice Address - Country:US
Practice Address - Phone:224-436-0405
Practice Address - Fax:877-497-1959
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037440225100000X
NJ40QA01727800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist