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

Individual provider Physical Therapy Assistant · NPI 1558629030

Mr. Rodolfo Manzanares, PTA is a Physical Therapy Assistant in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

222 W 39th Ave
San Mateo, CA 94403-4364
Phone: (650) 573-2472
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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 3224 (CA)

Record details

NPI number1558629030
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 2, 2012
Last updated in NPPESMay 2, 2012

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