Active NPI
Marc D Levine, RPT
- Contractor
- Valencia, CA
National Provider Identifier
1003949249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT 16807
- Practice address
- 23356 Timberlane Dr
Valencia, CA 91354-1450 - Phone
- (661) 513-9317
- Fax
- (661) 513-9348
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT 16807 | CA | Primary |
Addresses
Primary practice location
23356 Timberlane Dr
Valencia, CA 91354-1450
Mailing address
23356 Timberlane Dr
Valencia, CA 91354-1450
Phone (661) 513-9317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
23356 Timberlane Dr
Valencia, CA 91354-1450
Phone (323) 899-4266
27225 Camp Plenty Rd
Suite 6
Canyon Country, CA 91351-2654
Phone (661) 298-0140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16807 | CA | MD | Clinical Psychologist |
| PT 16807 | CA | MD | Contractor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Canyon Country, CA
- NPI 1003098922
-
- Assisted Living Facility
- Valencia, CA
- NPI 1598898637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003949249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23356 TIMBERLANE DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541450",
"telephone_number": "661-513-9317",
"fax_number": "661-513-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23356 TIMBERLANE DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541450",
"telephone_number": "661-513-9317",
"fax_number": "661-513-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MARC",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "PT 16807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.