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

Mr. Jeremy L. Fazio, PT

Individual provider Physical Therapist · NPI 1699920363

Mr. Jeremy L. Fazio, PT is a Physical Therapist in Morro Bay, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

890 Shasta Ave
Morro Bay, CA 93442-1933
Phone: (805) 772-4325
Fax: (805) 772-2886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 33411 (CA)

Record details

NPI number1699920363
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 23, 2008
Last updated in NPPESJuly 18, 2013

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