Active NPI
Aivy Marie Mariano
- Physical Therapist
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8380 Center Dr Ste E
La Mesa, CA 91942-2952 - Phone
- (619) 466-6077
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 27, 2025
- 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 | Primary |
Addresses
Primary practice location
8380 Center Dr Ste E
La Mesa, CA 91942-2952
Mailing address
1990 Edison CT
Chula Vista, CA 91915-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
600 Mamaroneck Ave
Suite 400
Harrison, NY 10528-1647
8380 Ctr Dr
Suite E
La Mesa, CA 91942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
| PTP, Inc | Physical Therapist | Current | Accepting new patients |
Locations
320 W Valley Blvd
Alhambra, CA 91803
Phone (626) 616-8695
8380 Center Dr
Ste E
La Mesa, CA 91942
Phone (619) 466-6077
19115 Colima Rd
Ste 205B
Rowland Heights, CA 91748
Phone 80023438013
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": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1235941196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 EDISON CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 CENTER DR STE E",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422952",
"telephone_number": "619-466-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "AIVY MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
- Marcial Felan, MFT a Psychology Corp.
- Maria Anguiano Marriage and Family Therapy Inc.
- Maria I. Frailey, PH.D., a Professional Corporation
- Linda Sippy Maria, P.T.
- Rami Maria, PHARMD
- Maila Alindog Marinas, NP
- Brandon Christopher Marino, RPT
- Mario Ammirati M D Inc
- Kerry M Mariota, OTR, CHT
- Mark C Levine MD a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.