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

Marco Tejeda, PTA

Individual provider Physical Therapy Assistant · NPI 1568850477

Marco Tejeda, PTA is a Physical Therapy Assistant in Diamond Bar, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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

2989 Crooked Creek Dr
Diamond Bar, CA 91765-3408
Phone: (951) 675-0191
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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 AT5705 (CA)

Record details

NPI number1568850477
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 30, 2014
Mailing address9025 Colorado Ave, Riverside, CA 92503-2157

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