Individual provider Active NPI

Maria Valencia, PT

  • Physical Therapist
  • Culver City, CA
National Provider Identifier
1295314524
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299905 Issued in CA
Practice address
6826 S Centinela Ave
Culver City, CA 90230-6301
Phone
(310) 915-9700
NPI assigned
Apr 5, 2021
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 299905 CA Primary

Addresses

Primary practice location

6826 S Centinela Ave
Culver City, CA 90230-6301

Mailing address

845 S Kingsley Dr Apt 105
Los Angeles, CA 90005-4361
Phone (323) 404-5528

Other names 1

  • Maria Goretti Africa Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address margo@evolution-pt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909001333 CA Practitioner - Physical Therapist in Private Practice 8729484258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299905CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Pacific Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jan 1, 2025 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Evolution Physical Therapy, Inc Physical Therapist PastSince Apr 11, 2021 Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

4924 Balboa Blvd
Encino, CA 91316
Phone (805) 479-8706

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403
Phone (818) 907-0952

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1295314524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S KINGSLEY DR APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054361",
            "telephone_number": "323-404-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 S CENTINELA AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306301",
            "telephone_number": "310-915-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margo@evolution-pt.com",
            "affiliation": "N",
            "address_1": "6826 S Centinela Ave",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902306301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "AFRICA",
            "middle_name": "GORETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.