Individual provider · Type 1 NPI
Dipendra Gautam
Geriatric Physical Therapist · Madera, CA
Practice location
502 Traverse Dr S
Madera, CA 93636
Mailing address
7942 N Maple Ave Ste 102
Fresno, CA 93720-0293
Other practice locations
- 113 Riverwalk Blvd S, Suite 111-50, Madera, CA 93636 · (703) 626-9334
- 7942 N Maple Ave Ste 102, Fresno, CA 93720-0293 · (595) 396-4681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | PT298252 (CA) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
Another provider at this address
About NPI 1437879624
Dipendra Gautam's National Provider Identifier is 1437879624, issued on Aug 30, 2022. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Madera, CA. The record was last updated on Jun 8, 2025.