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

Mrs. Kimberly Ann Mode, PTA

Individual provider Physical Therapy Assistant · NPI 1669692414

Mrs. Kimberly Ann Mode, PTA is a Physical Therapy Assistant in San Gabriel, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

6812 Oak Ave
San Gabriel, CA 91775-2030
Phone: (909) 382-1642
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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 AT2015 (CA)

Record details

NPI number1669692414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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