Provider Demographics
NPI:1770849531
Name:JOSHI, ALISHA SOHAM (DPT)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:SOHAM
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 E IMPERIAL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6735
Mailing Address - Country:US
Mailing Address - Phone:714-988-8110
Mailing Address - Fax:714-988-8111
Practice Address - Street 1:3300 IRVINE AVE.
Practice Address - Street 2:SUITE 130
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3119
Practice Address - Country:US
Practice Address - Phone:949-271-0053
Practice Address - Fax:949-271-9453
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034747-1225100000X
NJ40QA01603100225100000X
CAPT293202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist