Active NPI
Ivy Maquiling, PT
- Physical Therapist
- Napa, CA
National Provider Identifier
1114223385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33401
- Practice address
- 3275 Villa LN
Napa, CA 94558-3016 - Phone
- (707) 257-0931
- NPI assigned
- Feb 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33401 | CA | Primary |
Addresses
Primary practice location
3275 Villa LN
Napa, CA 94558-3016
Mailing address
1406 Third St Apt 3
Napa, CA 94559-2849
Phone (707) 287-0879
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33401 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1114223385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 THIRD ST APT 3",
"city": "NAPA",
"state": "CA",
"postal_code": "945592849",
"telephone_number": "707-287-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 VILLA LN",
"city": "NAPA",
"state": "CA",
"postal_code": "945583016",
"telephone_number": "707-257-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAQUILING",
"first_name": "IVY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.