Individual provider Active NPI

Marifi Remoquillo, DPT

  • Physical Therapist
  • Panorama City, CA
National Provider Identifier
1043675903
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39018 Issued in CA
Practice address
14728 Tupper St
Panorama City, CA 91402-1245
Phone
(818) 359-3928
NPI assigned
Dec 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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 PT39018 CA Primary

Addresses

Primary practice location

14728 Tupper St
Panorama City, CA 91402-1245

Mailing address

14728 Tupper St
Panorama City, CA 91402-1245
Phone (818) 359-3928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001773 CA Practitioner - Physical Therapist in Private Practice 0345629382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39018CAMDPhysical Therapist
39018CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Therapy, Inc Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Impromax Physical Therapy, Corp Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

120 Newport Center Dr
#247
Newport Beach, CA 92660
Phone (949) 889-2329

14435 Sherman Way
Ste 102
Van Nuys, CA 91405
Phone (818) 359-3928

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.

NPI Registry JSON

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1043675903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14728 TUPPER ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021245",
            "telephone_number": "818-359-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14728 TUPPER ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021245",
            "telephone_number": "818-359-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMOQUILLO",
        "first_name": "MARIFI",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-20",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.