Individual provider Active NPI

Marion Kabiling, BS, PTA, ATC

  • Physical Therapy Assistant
  • Rancho Santa Margarita, CA
National Provider Identifier
1154845295
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
48822 Issued in CA
Practice address
30085 Comercio
Rancho Santa Margarita, CA 92688-2106
Phone
(949) 766-8535
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 48822 CA Primary

Addresses

Primary practice location

30085 Comercio
Rancho Santa Margarita, CA 92688-2106

Mailing address

23001 Del Lago Dr Ste C1
Laguna Hills, CA 92653-1354
Phone (949) 387-7333

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
48822CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prosport Physical Therapy Professionals Inc CurrentSince Jul 24, 2022 Accepting new patients
Evolve Integrated Wellness and Physical Therapy PC PastSince Jul 24, 2022 Accepting new patients

Locations

30085 Comercio
Rcho Sta Marg, CA 92688
Phone (949) 766-8535

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154845295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23001 DEL LAGO DR STE C1",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531354",
            "telephone_number": "949-387-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30085 COMERCIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882106",
            "telephone_number": "949-766-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABILING",
        "first_name": "MARION",
        "name_prefix": "Ms.",
        "credential": "BS, PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.