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

Mr. Jerry Frederick Ponce, RPT

Individual provider Physical Therapist · NPI 1609009612

Mr. Jerry Frederick Ponce, RPT is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

2010 Wilshire Blvd Ste 404
Los Angeles, CA 90057-3507
Phone: (213) 353-0003
Fax: (213) 353-0004
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT35664 (CA)

Record details

NPI number1609009612
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009

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