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

Individual provider Physical Therapist · NPI 1134285919

Witaya Mathiyakom, PHD, PT is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
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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 PT 19386 (CA)

Record details

NPI number1134285919
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , PT
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007

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