Faith Isiderio, PTA
Physical Therapy Assistant in Stockton, CA. Individual provider (NPI-1).
NPI number1487058848
StatusActive
Last updated in NPPESOct 14, 2014
Details
- NPI
- 1487058848
- Entity type
- Individual (NPI-1)
- Name
- Faith Isiderio
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2014
- Last updated
- Oct 14, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | At8194 | CA | Yes |
Practice location
5650 Patti Lynn WayStockton, CA 95212
Phone 209-956-5000
Mailing address
5650 Patti Lynn WayStockton, CA 95212-2884
Phone 209-956-5000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Stockton, CA
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All 26 Physical Therapy Assistant providers in Stockton · All 11,041 providers in Stockton
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