Provider Demographics
NPI:1699667808
Name:SILVA, JOSHUA (PTA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 GRANT AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:EAST NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2714
Mailing Address - Country:US
Mailing Address - Phone:973-738-2222
Mailing Address - Fax:
Practice Address - Street 1:620 ESSEX ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-2134
Practice Address - Country:US
Practice Address - Phone:973-483-6159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00377700225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant