MEDICARE: MR. SHREENIDHI H JOSHI MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	030019	NY
2	225100000X	Physical Therapist	40QA01481200	NJ

General Provider Information

NPI Number	:	1164741609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHREENIDHI H JOSHI MSPT

Provider Business Mailing Address
First Line	:	4 CURIE CT
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2924
Country	:	US
Telephone Number	:	607-761-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CURIE CT
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2924
Country	:	US
Telephone Number	:	607-761-7323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	01/26/2023

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