Individual provider Active NPI

Janice Marlar Lwin

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1124224951
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27219 Issued in CA
Practice address
10216 Caminito Pitaya
San Diego, CA 92131-2010
Phone
(858) 752-2858
Fax
(858) 653-4636
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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 27219 CA Primary

Addresses

Primary practice location

10216 Caminito Pitaya
San Diego, CA 92131-2010

Mailing address

10216 Caminito Pitaya
San Diego, CA 92131-2010
Phone (858) 752-2858

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

State licenses

LicenseStateTypeSpecialty
27219CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1124224951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 CAMINITO PITAYA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312010",
            "telephone_number": "858-752-2858",
            "fax_number": "858-653-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 CAMINITO PITAYA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312010",
            "telephone_number": "858-752-2858",
            "fax_number": "858-653-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LWIN",
        "first_name": "JANICE",
        "middle_name": "MARLAR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.