Provider Demographics
NPI:1750185146
Name:FARINAS, JOSHUA LUIS (PTA)
Entity type:Individual
Prefix:
First Name:JOSHUA LUIS
Middle Name:
Last Name:FARINAS
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11023 BEARSDEN DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1836
Mailing Address - Country:US
Mailing Address - Phone:973-462-5295
Mailing Address - Fax:
Practice Address - Street 1:11023 BEARSDEN DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1836
Practice Address - Country:US
Practice Address - Phone:973-462-5295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2187602225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant