Individual provider · Type 1 NPI

Kenny Pham

Physical Therapy Assistant · Fountain Valley, CA

NPI number 1013868249 Active

Practice location

11420 Warner Ave
Fountain Valley, CA 92708-2529

Call (657) 205-0455 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X53710 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1013868249

Kenny Pham's National Provider Identifier is 1013868249, issued on Feb 4, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fountain Valley, CA. The record was last updated on Feb 4, 2026.