Ajesh Joseph, B.P.T
Individual provider Active NPI Physical Therapist · Bonham, TX
NPI 1679769269 · NPPES record last updated Jul 15, 2010
Key facts
- NPI
- 1679769269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501012543 (MI)
- Practice address
- 2215 Pecan St
Bonham, TX 75418-2223 - Phone
- (903) 640-4585
- Fax
- (214) 354-1319
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Physical Therapy & Rehab Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012543 | MI | Yes |
Addresses
Primary practice location
2215 Pecan St
Bonham, TX 75418-2223
Mailing address
2215 Pecan St
Bonham, TX 75418-2223
Phone (903) 640-4585
Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.