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

Carly Pon, PTA

Individual provider Physical Therapy Assistant · NPI 1558851535

Carly Pon, PTA is a Physical Therapy Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6116 Medau Pl
Oakland, CA 94611-2809
Phone: (510) 339-2116
Fax: (510) 339-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PT49084 (CA)

Record details

NPI number1558851535
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address6116 Medau Place, Oakland, CA 94602-2809

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