Individual provider · Type 1 NPI

Marie Claudia Carrillo-Bertolucci, PTA

Physical Therapy Assistant · Fremont, CA

NPI number 1174299986 Active

Practice location

39270 Paseo Padre Pkwy # 207
Fremont, CA 94538-1616

Call (323) 819-5223 Map

Mailing address

1244 Lake St
Millbrae, CA 94030-2926

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X51399 (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 1174299986

Marie Claudia Carrillo-Bertolucci, PTA's National Provider Identifier is 1174299986, issued on Aug 20, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fremont, CA. The record was last updated on Jun 8, 2026.