MEDICARE: CHRISTOPHER AQUINO PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10057	CA

General Provider Information

NPI Number	:	1215887039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER AQUINO PTA

Provider Business Mailing Address
First Line	:	14923 BRIDLESPUR
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-5265
Country	:	US
Telephone Number	:	949-500-7942
Fax Number	:

Provider Business Practice Location Address
First Line	:	7860 MISSION CENTER CT STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1331
Country	:	US
Telephone Number	:	949-500-7942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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