Healthcare Provider Details

I. General information

NPI: 1770440273
Provider Name (Legal Business Name): AASANA PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 MAYTEN WAY
FREMONT CA
94539-7630
US

IV. Provider business mailing address

437 MAYTEN WAY
FREMONT CA
94539-7630
US

V. Phone/Fax

Practice location:
  • Phone: 408-406-7046
  • Fax:
Mailing address:
  • Phone: 408-406-7046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANJANI DURISETY
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 408-406-7046