Clytic Marie Villas Tesorio, PT-DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12411 Slauson Ave.
Unit H
Whittier, CA 90606

Phone

(562) 693-5449

Fax

(562) 693-5469

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1003143041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 SLAUSON AVE.",
            "address_2": "UNIT H",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90606",
            "telephone_number": "562-693-5449",
            "fax_number": "562-693-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 SLAUSON AVE.",
            "address_2": "UNIT H",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90606",
            "telephone_number": "562-693-5449",
            "fax_number": "562-693-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIO",
        "first_name": "CLYTIC MARIE",
        "middle_name": "VILLAS",
        "name_prefix": "Ms.",
        "credential": "PT-DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Elizabeth Tennyson, RN, FNP
• Catherine Teotico-Lee, PSY.D.
• Alejandra Tercero Neri, SLPA
• Inez Reeny Terrazas
• Steven Terry
• Bridget Tessman
• Estela Michelle Tetitla
• Sadeer Thabit
• Anh Tu Thai, PHARM.D.
• Dai Thai

• Physical Therapist in Whittier, CA
• Providers in Whittier, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.