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

Bret J Bacciocco

Individual provider Physical Therapy Assistant · NPI 1114071990

Bret J Bacciocco is a Physical Therapy Assistant in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

5000 Van Nuys Blvd Ste 314
Sherman Oaks, CA 91403-1852
Phone: (818) 783-2396
Fax: (818) 783-2467
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT4252 (CA)

Record details

NPI number1114071990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 28, 2011

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