Marcie Mason Forouzan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291502 Issued in CA

Practice address

4342 Redwood Ave # C214
Marina del Rey, CA 90292-6480

Phone

(281) 989-0725

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marcie Lynn Mason Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1346944857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 REDWOOD AVE # C214",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926480",
            "telephone_number": "281-989-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 REDWOOD AVE # C214",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926480",
            "telephone_number": "281-989-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUZAN",
        "first_name": "MARCIE",
        "middle_name": "MASON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "MASON",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erik Harlan Fleischman, D.O.
• Floradema LLC
• Richard Sebastian Flores
• Brad Foote, DC
• William F Francis Foran, M.D.
• Stephanie Noelle Francis, MA, LMFT
• Lorry L Franco, PT
• Beverly B. Frank, PSY.D.
• Frederic G Nicola, MD, a Professional Corporation
• Frederic G Nicola, MD, a Professional Corporation

• Physical Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.