Healthcare Provider Details

I. General information

NPI: 1417865668
Provider Name (Legal Business Name): JOANA GABRIELLA ORELLANA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 HOLLIS ST STE A
EMERYVILLE CA
94608-2066
US

IV. Provider business mailing address

269 FAIRMOUNT AVE APT 4
OAKLAND CA
94611-5832
US

V. Phone/Fax

Practice location:
  • Phone: 510-923-0700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: