Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE BASTIDAS CACERES, PT, MPT
Active Sole ProprietorJORGE BASTIDAS CACERES, PT, MPT is a Physical Therapy Assistant healthcare provider located in CORONA, California. NPI 1902142318 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CORONA, CA
Registration Details
- NPI Number
- 1902142318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2012 (13.680839763228 yrs)
- Last Updated
- May 16, 2024
- License
-
PT35690 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2275 S MAIN ST102CORONA, CA, 928825303Browse CA providers · Browse ZIP 92882
- Phone
- 9512737742
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Physical Therapy Assistant Providers in CORONA, CA
| Name | Credential | NPI |
|---|---|---|
| SCOTT HUNSAKER | PT | 1497752000 |
| CHRISTINE MARIE EDDOW | PT DPT OCS WCS CHT | 1003890229 |
| JIM JIRO EDDOW | PT, DPT, OCS | 1578547683 |
| BRIAN THIO | PT | 1043294937 |
| MICHELLE PARCELL | P.T. | 1881654762 |
| MARIFE SABIO | P.T. | 1306872692 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.