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DIPENDRA GAUTAM
NPI 1437879624
Physical Therapist - Geriatrics in Madera, CA

Active since August 30, 2022
502 TRAVERSE DR S, MADERA, CA 93636(703) 626-9334 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2025, Oct 7, 2024, Apr 25, 2024 and 1 more (4 updates tracked since 2022).

About Dipendra Gautam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIPENDRA GAUTAM (NPI 1437879624) is an individual geriatrics provider in Madera, California, licensed in California (PT298252) and active in the NPI registry since August 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437879624
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameDIPENDRA GAUTAM
Location Address502 TRAVERSE DR SMadera, CA 93636
Mailing Address7942 N Maple Ave Ste 102Fresno, CA 93720-0293 · (595) 396-4681
Phone(703) 626-9334
Sole ProprietorNo
Enumeration DateAugust 30, 2022
Last NPPES UpdateJune 8, 20254 updates tracked since enumeration
NPPES CertifiedJune 8, 2025
✔ NPI 1437879624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CA · PT298252
Definition
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 pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
502 TRAVERSE DR S, Madera, CA 93636
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Secondary Practice Locations 2

Location 1113 RIverwalk Blvd S, Suite 111-50Madera, CA 93636 · Phone (703) 626-9334
Location 27942 N Maple Ave Ste 102Fresno, CA 93720-0293 · Phone (595) 396-4681 · Fax (559) 336-4484

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIPENDRA GAUTAM PHYSICAL THERAPY INC
Physical Therapist
502 TRAVERSE DR S
MADERA, CA 93636
Madera County (559) 396-4681

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dipendra Gautam's NPI number?

The NPI number for Dipendra Gautam is 1437879624. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Dipendra Gautam located?

Dipendra Gautam practices at 502 Traverse Dr S, Madera, CA 93636. The listed phone number is (703) 626-9334.

What is Dipendra Gautam's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Dipendra Gautam was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.