Active NPI
Maria Parrera, P.T.
- Physical Therapist
- French Camp, CA
National Provider Identifier
1164544151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29904
- Practice address
- 500 W Hospital Rd
French Camp, CA 95231-9693 - Phone
- (209) 468-6937
- Fax
- (209) 468-7042
- NPI assigned
- Apr 3, 2007
- 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 | PT29904 | CA | Primary |
Addresses
Primary practice location
500 W Hospital Rd
French Camp, CA 95231-9693
Mailing address
PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT29904 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| PT29904 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1164544151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952013120",
"telephone_number": "209-468-6937",
"fax_number": "209-468-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W HOSPITAL RD",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952319693",
"telephone_number": "209-468-6937",
"fax_number": "209-468-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRERA",
"first_name": "MARIA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT29904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT29904",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in French Camp, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.