Samantha Quisenberry

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT10655 Issued in CA

Practice address

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778

Phone

(714) 557-9292

NPI assigned

Jan 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mariners Physical Therapy, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1164527305
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1063802163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CALLE AMISTAD",
            "address_2": "UNIT 5104",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736917",
            "telephone_number": "949-945-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "714-557-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISENBERRY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Quiroz-Rios
• Aaron Quiroz, LMFT
• Martha Quiroz
• Nicholas Felix Quiroz, BEHAVIOR TECHINICIAN
• Rosangela Quiroz, LPT
• Quoc Nguyen & Trung Nguyen, DDS (Harbor Dentistry)
• Quorum Medical Supply Inc.
• Essam R Quraishi, MD
• Muhammad Muzaffar Hussain Qureshi, DDS.
• Quynh Tram T Truong DDS Inc (123 Smile Dental Care)

• Physical Therapy Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.