Healthcare Provider Details

I. General information

NPI: 1215626346
Provider Name (Legal Business Name): BRIAN N CHOATE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 N CEDAR AVE STE 103
FRESNO CA
93720-3838
US

IV. Provider business mailing address

7405 N CEDAR AVE STE 103
FRESNO CA
93720-3838
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-4100
  • Fax: 559-261-4101
Mailing address:
  • Phone: 559-261-4100
  • Fax: 559-261-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-32953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: