Individual provider Active NPI

Marissa Ruth Meucci, M.S.P.T.

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1346485497
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28884 Issued in CA
Practice address
1187 Coast Village Rd Ste 8
Santa Barbara, CA 93108-2762
Phone
(805) 565-5670
Fax
(805) 565-5690
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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 PT28884 CA Primary

Addresses

Primary practice location

1187 Coast Village Rd Ste 8
Santa Barbara, CA 93108-2762

Mailing address

1187 Coast Village Rd Ste 8
Santa Barbara, CA 93108-2762
Phone (805) 565-5670

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
PT28884CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Village Physical Therapy, Inc. Physical Therapist PastSince Oct 15, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1346485497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 8",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082762",
            "telephone_number": "805-565-5670",
            "fax_number": "805-565-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 8",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082762",
            "telephone_number": "805-565-5670",
            "fax_number": "805-565-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUCCI",
        "first_name": "MARISSA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.