Individual provider Active NPI

Mario Muratore, DPT

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1033766381
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297006 Issued in CA
Practice address
33551 Zinnia LN
Murrieta, CA 92563-2481
Phone
(951) 591-0729
Fax
(951) 928-1971
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297006 CA Primary

Addresses

Primary practice location

33551 Zinnia LN
Murrieta, CA 92563-2481

Mailing address

33551 Zinnia LN
Murrieta, CA 92563-2481
Phone (951) 591-0729

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Temecula Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297006CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1033766381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33551 ZINNIA LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632481",
            "telephone_number": "951-591-0729",
            "fax_number": "951-928-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33551 ZINNIA LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632481",
            "telephone_number": "951-591-0729",
            "fax_number": "951-928-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATORE",
        "first_name": "MARIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Temecula",
            "affiliation": "N",
            "endpointDescription": "Webpt",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28975 Old Town Front St Ste 201",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925902863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.