Healthcare Provider Details

I. General information

NPI: 1336969849
Provider Name (Legal Business Name): JOSHUA ADDES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 WILSHIRE BLVD STE 600
LOS ANGELES CA
90048-5521
US

IV. Provider business mailing address

16573 VENTURA BLVD STE 5
ENCINO CA
91436-2021
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number306612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: