Individual provider · Type 1 NPI

Corina Moya Tieves, PTA

Physical Therapy Assistant · Fullerton, CA

NPI number 1396771929 Active

Practice location

2000 E Chapman Ave
Fullerton, CA 92831-4106

Call (714) 870-1744 Map

Mailing address

8312 Fontainbleau Way
Cypress, CA 90630-2033

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 529 (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 1396771929

Corina Moya Tieves, PTA's National Provider Identifier is 1396771929, issued on Jun 24, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fullerton, CA. The record was last updated on Jul 13, 2026.