Ariel Marie Santiago Codilla, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306558 Issued in CA

Practice address

2735 Maricopa St
Torrance, CA 90503-5145

Phone

(310) 357-4830

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tag Physical Therapy IncGroup PAC ID 6103834171, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tag Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1063581965
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1134950546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 MARICOPA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035145",
            "telephone_number": "310-357-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 MARICOPA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035145",
            "telephone_number": "310-357-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODILLA",
        "first_name": "ARIEL MARIE",
        "middle_name": "SANTIAGO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal View Gastroenterology, Inc
• Coastal Vision Center a Professional Optometry Corporation
• Kori Anne Coates
• Wendy Coates, M.D.
• Kristina Cobuzzi, OTR/L
• Jordan Alejandro Coello, M.A.
• Cohen Sedgh, Manavi & Pakravan Dental Corporation (Dental Associates of Torrance)
• Jamie Michelle Cohen-Maza
• Jerome Cohen, M.D.
• Leah Cohen

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.