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

Vieny Anggita, PT

Individual provider Physical Therapist · NPI 1619834991

Vieny Anggita, PT is a Physical Therapist in Private Practice in San Bernardino, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1181 E Highland Ave Ste B
San Bernardino, CA 92404-4605
Phone: (909) 883-5069
Fax: (909) 883-5473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1323 W Colton Ave Ste 105, Redlands, CA 92374-2853 — (909) 978-7997

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309373 (CA)

Record details

NPI number1619834991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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