Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aditi Suryakant Datta, PT

Individual provider Physical Therapist · NPI 1265123152

Aditi Suryakant Datta, PT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2016, 10 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4600 W Washington St
South Bend, IN 46619-2320
Phone: (574) 282-1294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010293A (IN)

Record details

NPI number1265123152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateApril 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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