Provider Demographics
NPI:1598522211
Name:JOSHI, MEGHA PRATIK (PT)
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:PRATIK
Last Name:JOSHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGHABEN
Other - Middle Name:HARSHADBHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1395 E ELDORADO PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5508
Mailing Address - Country:US
Mailing Address - Phone:972-987-4672
Mailing Address - Fax:
Practice Address - Street 1:1395 E ELDORADO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5508
Practice Address - Country:US
Practice Address - Phone:972-987-4672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1360276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist