Mariah Weber King, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297546 Issued in CA

Practice address

15375 Barranca Pkwy Ste A103
Irvine, CA 92618-2203

Phone

(949) 590-9350

Fax

(949) 346-5350

NPI assigned

Nov 7, 2019

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

Other names 1

• Ms. Mariah Ida Weber Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rise Physical Therapy Inc

  dba SoCal Elite Physical Therapy

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1083038764
  Medicare reassignment Care Compare group
• Tyler Physical Therapy Inc

  • Physical Therapist
  • La Crescenta, CA
  • NPI 1255770095
  Medicare reassignment NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1174168694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE A103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182203",
            "telephone_number": "949-590-9350",
            "fax_number": "949-346-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE A103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182203",
            "telephone_number": "949-590-9350",
            "fax_number": "949-346-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARIAH",
        "middle_name": "WEBER",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.socalelitephysicaltherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15375 Barranca Pkwy Ste A103",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926182203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "WEBER",
            "middle_name": "IDA",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kindred Speech and Language T Herapy Inc. (AAC Connections LLC)
• Rebecca Kindreich
• Kineticore Pilates and Physical Therapy, Inc. (KinetiCore Pilates Therapy)
• Elizabeth King, CERTIFIED DOULA
• Maresa King, LMFT
• Patrick King
• Jacqueline Nicole Kington
• Courtney Tricia Kinholt, PA-C
• Kristen M Kinsfogel, PH.D.
• Haley Kirkhuff

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.