Healthcare Provider Details

I. General information

NPI: 1467304881
Provider Name (Legal Business Name): ANTHONY JOSHUA PERI DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 LA CASA VIA STE 212
WALNUT CREEK CA
94598-3007
US

IV. Provider business mailing address

120 LA CASA VIA STE 212
WALNUT CREEK CA
94598-3007
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-8710
  • Fax: 925-939-8716
Mailing address:
  • Phone: 925-939-8710
  • Fax: 925-939-8716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number309700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: