Individual provider · Type 1 NPI

Alice Mayorga, PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1053280412 Active

Practice location

5807 University Ave
San Diego, CA 92115-6295

Call (619) 500-1098 Map

Mailing address

1265 Thomas Ave
San Diego, CA 92109-4279

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X54368 (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 1053280412

Alice Mayorga, PTA's National Provider Identifier is 1053280412, issued on Nov 4, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 4, 2025.