Colleen Elizabeth Maravilla, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41261 Issued in CA

Practice address

3536 Concours Ste 225
Ontario, CA 91764-5585

Phone

(909) 944-0486

NPI assigned

Jun 9, 2019

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

• Colleen Elizabeth Gatchalian Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

78.11

Improvement activities

40

Cost

33.57

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment NPD
• Qarmon PC

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1376935163
  NPD (past)

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1366001802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ARCADIA AVE APT 21",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077224",
            "telephone_number": "909-615-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 CONCOURS STE 225",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645585",
            "telephone_number": "909-944-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAVILLA",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "GATCHALIAN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Maples
• Jordan Shangqian Mar
• Tiffany Mar, DMD
• Benedict Marasigan
• Carolina Maravilla
• Samantha Maravillo
• Jacob Calvin Marcelo
• Imelda Mares, MASTERS IN SCIENCE
• Maria a. Cruz-Agustin D.D.S Inc
• Maria Vargas Licensed Clinical Social Worker

• Physical Therapist in Ontario, CA
• Providers in Ontario, 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 20, 2026; 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.