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

Individual provider Physical Therapy Assistant · NPI 1881215028

Fredi Bustos Mateo, PTA is a Physical Therapy Assistant in Sylmar, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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

12831 Maclay St
Sylmar, CA 91342-4934
Phone: (818) 361-4455
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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 49701 (CA)

Record details

NPI number1881215028
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address12909 Harding St, Sylmar, CA 91342-3411

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