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

Individual provider Physical Therapy Assistant · NPI 1265080147

Raphael Grenfell, PTA is a Physical Therapy Assistant in Menifee, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

31685 Rouge Ln
Menifee, CA 92584-9258
Phone: (323) 743-5453
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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 AT9383 (CA)

Record details

NPI number1265080147
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 3, 2019
Last updated in NPPESSeptember 3, 2019
Mailing address31685 Rouge Ln, Menifee, CA 92584

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