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

Individual provider Physical Therapist · NPI 1902142318

Jorge Bastidas Caceres, PT, MPT is a Physical Therapist in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2275 S Main St 102
Corona, CA 92882-5303
Phone: (951) 273-7742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT35690 (CA)

Record details

NPI number1902142318
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MPT
Sole proprietorYes
NPI enumeratedDecember 13, 2012
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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