Ann M Marraccini, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

39850 Issued in CA

Practice address

860 Via de la Paz
Suite B1
Pacific Palisades, CA 90272

Phone

(310) 573-9553

Fax

(310) 573-9533

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cypress Physical Therapy Center IncGroup PAC ID 5890141279, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cypress Physical Therapy Center, Inc.

  • Orthopedic Physical Therapist
  • Pacific Palisades, CA
  • NPI 1831977230
  Medicare reassignment Care Compare group NPD
• Cascade Rehabilitation Associates, PLLC

  dba Cascade Rehabilitation

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1205850187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ",
            "address_2": "SUITE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ",
            "address_2": "SUITE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACCINI",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00009032",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "39850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "7801MA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTIRES",
            "identifier": "0178066",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7120694",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Meyoung Ma, MD
• Malibu Beach Recovery Center, LLC
• Debra Maltenfort, MD
• Diedra R Manns, P.T.
• Mark R Sawusch MD Inc
• Tracy G Marsh, PH.D.
• Max Moncayo DDS Dental Corporation (Palisades Surgical Arts)
• Darby McCullough
• Bernadette Catherine McDonnell, PT, LCCE
• Danielle McLellan-Bujnak, ICPD

• Orthopedic Physical Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.