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

Iconic Sports Physical Therapy PC

Organization Physical Therapist · NPI 1447104476

Iconic Sports Physical Therapy PC provides Physical Therapist services in Upland, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1317 W Foothill Blvd Ste 100
Upland, CA 91786-3676
Phone: (626) 826-5921
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1447104476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Banh — Ceo, Cfo, Secretary · (909) 671-1553
NPI enumeratedFebruary 25, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address1317 W Foothill Blvd Ste 100, Upland, CA 91786-3676

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