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

Micah Difalco, PTA

Individual provider Physical Therapy Assistant · NPI 1730712787

Micah Difalco, PTA is a Physical Therapy Assistant in Clovis, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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

615 4th St
Clovis, CA 93612-1124
Phone: (559) 322-5345
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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 PTA50528 (CA)

Record details

NPI number1730712787
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address615 4th St, Clovis, CA 93612-1124

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