Individual provider · Type 1 NPI

Maya Dickerson, PTA

Physical Therapy Assistant · Rancho Murieta, CA

NPI number 1699653352 Active

Practice location

7281 Lone Pine Dr Ste D103-A
Rancho Murieta, CA 95683-9715

Mailing address

8635 Carlin Ave
Sacramento, CA 95823-6931

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X52476 (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 1699653352

Maya Dickerson, PTA's National Provider Identifier is 1699653352, issued on Aug 21, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rancho Murieta, CA. The record was last updated on Aug 21, 2025.