Provider Demographics
NPI:1144787946
Name:AIRI, ADITI
Entity type:Individual
Prefix:
First Name:ADITI
Middle Name:
Last Name:AIRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADITI
Other - Middle Name:
Other - Last Name:AIRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:4626 WILLOW RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8564
Mailing Address - Country:US
Mailing Address - Phone:925-463-0470
Mailing Address - Fax:844-830-3541
Practice Address - Street 1:4626 WILLOW RD STE 200
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8564
Practice Address - Country:US
Practice Address - Phone:925-463-0470
Practice Address - Fax:844-830-3541
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT293885225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT293885OtherSTATE LICENSE