Individual provider · Type 1 NPI

Ernest Lysander Santiago Reyes, PTA

Physical Therapy Assistant · Pasadena, CA

NPI number 1215567888 Active

Practice location

837 S Fair Oaks Ave Ste 204
Pasadena, CA 91105-2647

Call (626) 627-2141 Map

Mailing address

500 Ivy St Ste 200
Glendale, CA 91204-1243

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X50483 (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 1215567888

Ernest Lysander Santiago Reyes, PTA's National Provider Identifier is 1215567888, issued on Jan 22, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pasadena, CA. The record was last updated on Jan 22, 2020.