Healthcare Provider Details

I. General information

NPI: 1811810187
Provider Name (Legal Business Name): TRUSHA DODIYA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 BELLEVUE AVE STE 15
RICHMOND HEIGHTS MO
63117-1851
US

IV. Provider business mailing address

619 CHARTIER DR
FERGUSON MO
63135-1255
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-5375
  • Fax: 314-768-5376
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026037798
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: