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

Marie De Chaine, PTLA

Individual provider Physical Therapist · NPI 1053167064

Marie De Chaine, PTLA is a Physical Therapist in Private Practice in San Bernardino, California. Qualified in 2023, 3 years ago. Practices with Bodybasics Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
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Practice location Address checks out

275 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3238
Phone: (909) 567-2221
Fax: (909) 763-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1053167064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTLA
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bodybasics Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Bernardino