Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicolas Arthur De Souza, PTA

Individual provider Physical Therapy Assistant · NPI 1376412098

Nicolas Arthur De Souza, PTA is a Physical Therapy Assistant in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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

11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone: (657) 204-2959
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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 54458 (CA)

Record details

NPI number1376412098
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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