Provider Demographics
NPI:1578233219
Name:JOSEPH, PRIYA PACHIKARA (DPT)
Entity type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:PACHIKARA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 DURANT RD
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-4626
Mailing Address - Country:US
Mailing Address - Phone:214-682-8679
Mailing Address - Fax:
Practice Address - Street 1:2231 NORTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-9074
Practice Address - Country:US
Practice Address - Phone:863-419-8922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist