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

Mr. Jay Jadech Siritaranukul, PTA

Individual provider Physical Therapy Assistant · NPI 1649865734

Mr. Jay Jadech Siritaranukul, PTA is a Physical Therapy Assistant in LA Canada, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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

1346 Foothilld Blvd Ste 101
LA Canada, CA 91011
Phone: (818) 790-3001
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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 PTA10715 (CA)

Record details

NPI number1649865734
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateFebruary 9, 2021
Mailing address1346 Foothilld Blvd., Suite 101, La Canada, CA 91011

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