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

Mrs. Lissa A Trevino, PT

Individual provider Physical Therapist · NPI 1669551750

Mrs. Lissa A Trevino, PT is a Physical Therapist in Private Practice in San Clemente, California. Qualified in 1995, 31 years ago. Practices with Ocean Physical Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2006
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

901 Calle Amanecer Ste 320
San Clemente, CA 92673-6278
Phone: (949) 366-6785
Fax: (949) 366-6470
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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 PT21353 (CA)

Record details

NPI number1669551750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Ocean Physical Therapy Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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