Individual provider Active NPI

Carol Christine Maiolfi III, PT

  • Physical Therapist
  • Seal Beach, CA
National Provider Identifier
1093794919
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7149 Issued in CA
Practice address
4872 Candleberry Ave
Seal Beach, CA 90740-3058
Phone
(562) 225-5633
Fax
(562) 596-6901
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 7149 CA Primary

Addresses

Primary practice location

4872 Candleberry Ave
Seal Beach, CA 90740-3058

Mailing address

4872 Candleberry Ave
Seal Beach, CA 90740-3058
Phone (562) 225-5633

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093794919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 CANDLEBERRY AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403058",
            "telephone_number": "562-225-5633",
            "fax_number": "562-596-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4872 CANDLEBERRY AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403058",
            "telephone_number": "562-225-5633",
            "fax_number": "562-596-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOLFI",
        "first_name": "CAROL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "7149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.