Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ginelle Vila-Dulay Fajardo, PT

Individual provider Physical Therapist · NPI 1245338102

MS. Ginelle Vila-Dulay Fajardo, PT is a Physical Therapist in Private Practice in Anaheim, California. Qualified in 2003, 23 years ago. Practices with State College Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
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

215 N State College Blvd Ste G
Anaheim, CA 92806-2932
Phone: (714) 999-6596
Fax: (714) 999-5009
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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 PT29347 (CA)

Record details

NPI number1245338102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJanuary 16, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice State College Physical Therapy Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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