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

Mr. Antonio Stacy Ambrosio Jr., RPT, CKTP

Individual provider Physical Therapist · NPI 1922669530

Mr. Antonio Stacy Ambrosio Jr., RPT, CKTP is a Physical Therapist in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

4434 Palisades Way
Antioch, CA 94531-9394
Phone: (925) 427-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13589 (CA)

Record details

NPI number1922669530
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT , CKTP
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019

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