Healthcare Provider Details

I. General information

NPI: 1588532055
Provider Name (Legal Business Name): EMILY PUZO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5755 COTTLE RD
SAN JOSE CA
95123-3640
US

IV. Provider business mailing address

1249 COLLIER AVE
MODESTO CA
95350-5366
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-3000
  • Fax:
Mailing address:
  • Phone: 303-437-3079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT298858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: