Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Physical Therapy, Inc

Organization Physical Therapist · NPI 1417175175

Providence Physical Therapy, Inc is a Physical Therapist in Ontario, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3550 E Philadelphia St Ste # 155
Ontario, CA 91761-2962
Phone: (909) 773-0022
Fax: (866) 672-8222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 15402 (CA)

Record details

NPI number1417175175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Aziz — Director Of Therapy · (909) 773-0022
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3550 E Philadelphia St, Suite # 155, Ontario, CA 91761-2962

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