Individual provider Active NPI

Ana Marinho, PT

  • Physical Therapist
  • Matthews, NC
National Provider Identifier
1225406986
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42719 Issued in CA
Practice address
11111 Brush Hollow Rd
Matthews, NC 28105-7113
Phone
(424) 225-2313
NPI assigned
Sep 10, 2015
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42719 CA Primary

Addresses

Primary practice location

11111 Brush Hollow Rd
Matthews, NC 28105-7113

Mailing address

11111 Brush Hollow Rd
Matthews, NC 28105-7113
Phone (424) 225-2313

Other practice location 1

10854 Washington Blvd
Culver City, CA 90232-3610
Phone (424) 225-2313

Other identifiers 1

IdentifierTypeStateIssuer
CB248011OtherCAMEDICARE PTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
42719CAMDPharmacist
PT42719CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Healthy LLC Physical Therapist Past Accepting new patients
Ana Marinho Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1225406986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 BRUSH HOLLOW RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057113",
            "telephone_number": "424-225-2313",
            "fax_number": "310-460-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 BRUSH HOLLOW RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057113",
            "telephone_number": "424-225-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10854 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902323610",
            "country_code": "US",
            "telephone_number": "424-225-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINHO",
        "first_name": "ANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB248011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.