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

Individual provider Physical Therapy Assistant · NPI 1104266766

Jose Ichiro Manabat, PTA is a Physical Therapy Assistant in Yucaipa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

11940 Greenbluff Way
Yucaipa, CA 92399-3476
Phone: (909) 790-0861
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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 225200000X (CA)

Record details

NPI number1104266766
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 27, 2013
Last updated in NPPESNovember 23, 2013

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