Provider Demographics
NPI:1831334036
Name:KAPASI, DIMPLE DHAVAL (PT)
Entity type:Individual
Prefix:
First Name:DIMPLE
Middle Name:DHAVAL
Last Name:KAPASI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DIMPLE
Other - Middle Name:KIRTIKUMAR
Other - Last Name:DALAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 ENGAMORE LN APT 106
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-2405
Mailing Address - Country:US
Mailing Address - Phone:404-644-0509
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-665-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist