Individual provider · Type 1 NPI

Kristian Jared Ilustre, DPT

Physical Therapist · Riverside, CA

NPI number 1679489942 Active

Practice location

6180 Brockton Ave Ste 101
Riverside, CA 92506-2259

Fax (951) 275-0149

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X310784 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1679489942

Kristian Jared Ilustre, DPT's National Provider Identifier is 1679489942, issued on Aug 19, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Riverside, CA. The record was last updated on Aug 19, 2026.