Elizabeth Aguayo, PTA
Individual provider Active NPI Physical Therapy Assistant · Redlands, CA
NPI 1982122321 · NPPES record last updated Sep 6, 2017
Key facts
- NPI
- 1982122321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5397 (CA)
- Practice address
- 10431 Commerce St Ste a
Redlands, CA 92374-0110 - Phone
- (909) 735-7654
- NPI assigned
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5397 | CA | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5397 | CA | Yes |
Addresses
Primary practice location
10431 Commerce St Ste a
Redlands, CA 92374-0110
Mailing address
PO Box 1822
Redlands, CA 92373-0581
Phone (909) 735-7654
Other providers in Redlands, CA
- Caitlyn Kendra Affrunti
- Ag Redlands, LLC
- Madhu R Agarwal
- James E Agee
- Arun B Agrawal
- Gloria Aguilar
- Nathalie Edith Aguilar
- Amanda Louise Aguilera
- Hillary Aguirre
- Sergio Aguirre
All providers in Redlands, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.