Active NPI
Cristina Semilla, PTA
- Physical Therapy Assistant
- Cypress, CA
National Provider Identifier
1003358060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8722
- Practice address
- 4021 Orange Ave
Cypress, CA 90630-2715 - Phone
- (800) 707-5768
- Fax
- (888) 723-3351
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8722 | CA | Primary |
Addresses
Primary practice location
4021 Orange Ave
Cypress, CA 90630-2715
Mailing address
4021 Orange Ave
Cypress, CA 90630-2715
Phone (800) 707-5768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA 8722 | Other | CA | CA PTA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8722 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1003358060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 ORANGE AVE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302715",
"telephone_number": "800-707-5768",
"fax_number": "888-723-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 ORANGE AVE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302715",
"telephone_number": "800-707-5768",
"fax_number": "888-723-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMILLA",
"first_name": "CRISTINA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PTA LICENSE",
"identifier": "PTA 8722",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.