MEDICARE: AASANA PHYSICAL THERAPY PC

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	2251E1200X	Ergonomics Physical Therapist

General Provider Information

NPI Number	:	1770440273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AASANA PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	437 MAYTEN WAY
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-7630
Country	:	US
Telephone Number	:	408-406-7046
Fax Number	:

Provider Business Practice Location Address
First Line	:	437 MAYTEN WAY
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-7630
Country	:	US
Telephone Number	:	408-406-7046
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. ANJANI DURISETY
Credential	:	PT
Telephone Number	:	408-406-7046

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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