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

Individual provider Physical Therapy Assistant · NPI 1790107365

Derek Mantey, MS, ATC, PTA is a Physical Therapy Assistant in San Juan Capistrano, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

31461 Rancho Viejo Rd Ste 101
San Juan Capistrano, CA 92675-1864
Phone: (949) 542-5000
Fax: (949) 419-2650
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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 10299 (CA)

Record details

NPI number1790107365
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , PTA
Sole proprietorNo
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014

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