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

Mr. Teodorico Vianzon III, PTA

Individual provider Physical Therapist · NPI 1437856481

Mr. Teodorico Vianzon III, PTA is a Physical Therapist in Glendale, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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

1208 S Central Ave
Glendale, CA 91204-2504
Phone: (805) 651-9686
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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 48768 (CA)

Record details

NPI number1437856481
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address1208 S Central Ave, Glendale, CA 91204-2504

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