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

Justin Chavez, PTA

Individual provider Physical Therapy Assistant · NPI 1558077297

Justin Chavez, PTA is a Physical Therapy Assistant in Corona, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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

255 E Rincon St Ste 112
Corona, CA 92879-1375
Phone: (951) 523-8509
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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 51003 (CA)

Record details

NPI number1558077297
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 19, 2023
Mailing address1656 Meserve St, Pomona, CA 91766-2525

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