Active NPI
Arthur Philip Zayas Villanueva, PTDPT
- Physical Therapist
- Marina, CA
National Provider Identifier
1235837451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40630
- Practice address
- 269 Reservation Rd Apt 110
Marina, CA 93933-3189 - Phone
- (831) 220-5327
- NPI assigned
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 40630 | CA | Primary |
Addresses
Primary practice location
269 Reservation Rd Apt 110
Marina, CA 93933-3189
Mailing address
269 Reservation Rd Apt 110
Marina, CA 93933-3189
Phone (831) 220-5327
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 |
|---|---|---|---|
| 40630 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1235837451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 RESERVATION RD APT 110",
"city": "MARINA",
"state": "CA",
"postal_code": "939333189",
"telephone_number": "831-220-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 RESERVATION RD APT 110",
"city": "MARINA",
"state": "CA",
"postal_code": "939333189",
"telephone_number": "831-220-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "ARTHUR PHILIP",
"middle_name": "ZAYAS",
"name_prefix": "Mr.",
"credential": "PTDPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.