Active NPI
Mariners Physical Therapy, Inc.
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1164527305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MARINERS PHYSICAL THERAPY, INC.
- Practice address
- 201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778 - Phone
- (714) 557-9292
- Fax
- (714) 557-9137
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Diane M Morton
- Title
- Office Manager
- Phone
- (714) 557-9292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778
Mailing address
201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778
Phone (714) 557-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14629 | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3200 Bristol St
Ste 180
Costa Mesa, CA 92626
Phone (714) 557-9292
2300 University Dr
Newport Beach, CA 92660
201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292
1015 Hope St
Ste F
South Pasadena, CA 91030
Phone (626) 360-6092
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1144081902
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- NPI 1699477703
-
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- NPI 1548901309
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- NPI 1649924648
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- NPI 1659974442
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- Physical Therapist
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- NPI 1144180373
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- Physical Therapist
- Diamond Bar, CA
- NPI 1003316969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1164527305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SANDPOINTE AVE",
"address_2": "SUITE 130",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075778",
"telephone_number": "714-557-9292",
"fax_number": "714-557-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SANDPOINTE AVE",
"address_2": "SUITE 130",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075778",
"telephone_number": "714-557-9292",
"fax_number": "714-557-9137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINERS PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "MORTON",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-557-9292",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W14629",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.