Active NPI
Ma. Teresita Borio Shore, PTA
- Physical Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1306166293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT8769
- Practice address
- 5310 Fountain Ave
Los Angeles, CA 90029-1005 - Phone
- (323) 461-9961
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT8769 | CA | Primary |
Addresses
Primary practice location
5310 Fountain Ave
Los Angeles, CA 90029-1005
Mailing address
5310 Fountain Ave
Los Angeles, CA 90029-1005
Phone (213) 458-0426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8769 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1306166293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291005",
"telephone_number": "213-458-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291005",
"telephone_number": "323-461-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "MA. TERESITA",
"middle_name": "BORIO",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT8769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.