Provider Demographics
NPI:1063834133
Name:FARHAT, JOSHUA HOSSAIN (DPT, ATC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:HOSSAIN
Last Name:FARHAT
Suffix:
Gender:M
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 SLAUGHTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8610
Mailing Address - Country:US
Mailing Address - Phone:256-325-1795
Mailing Address - Fax:
Practice Address - Street 1:1650 SLAUGHTER RD STE B
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8610
Practice Address - Country:US
Practice Address - Phone:256-325-1795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist