Provider Demographics
NPI:1326502709
Name:JOSHI, NEHA (DPT)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:DILEEP
Other - Last Name:ATHAVALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-541-5492
Mailing Address - Fax:
Practice Address - Street 1:2765 E ELDORADO PKWY STE 210
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5607
Practice Address - Country:US
Practice Address - Phone:972-987-4927
Practice Address - Fax:972-987-4929
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13120252251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics