Mary Lydia Engles

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT6252 Issued in CA

Legal business name

MARY LYDIA ENGLES

Practice address

4120 West Point Loma Blvd
San Diego, CA 92110-5605

Phone

(619) 226-4131

Fax

(619) 226-4124

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lydia Engles, PT

Title

Owner/Operator

Phone

(619) 226-4131

Specialties & licenses 1

Addresses

Other names 1

• Sports Arena Physical Therapy Doing business as

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1104917095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WEST POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105605",
            "telephone_number": "619-226-4131",
            "fax_number": "619-226-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WEST POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105605",
            "telephone_number": "619-226-4131",
            "fax_number": "619-226-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYDIA ENGLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "ENGLES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "619-226-4131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT6252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Arena Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Olivia Grace Marziale, DDS

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.