Healthcare Provider Details

I. General information

NPI: 1528889888
Provider Name (Legal Business Name): JOSEPH TOLES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 JENSEN AVE STE 102
SANGER CA
93657-2683
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 559-875-2220
  • Fax: 559-399-3074
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number307033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: