Active NPI
Cindy Marcon, RPT
- Physical Therapist
- Valley Center, CA
National Provider Identifier
1376593699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22510000X
- Practice address
- 13445 Hilldale Rd
Valley Center, CA 92082-3418 - Phone
- (760) 207-0632
- Fax
- (760) 888-9234
- NPI assigned
- May 10, 2006
- 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 | 22510000X | CA | Primary |
Addresses
Primary practice location
13445 Hilldale Rd
Valley Center, CA 92082-3418
Mailing address
PO Box 1587
Valley Center, CA 92082-1587
Phone (760) 207-0632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120316000404 | CA | Practitioner - Physical Therapist in Private Practice | 2062671688 | Practice locations: Valley Center, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22510000X | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1376593699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1587",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920821587",
"telephone_number": "760-207-0632",
"fax_number": "760-888-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13445 HILLDALE RD",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920823418",
"telephone_number": "760-207-0632",
"fax_number": "760-888-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCON",
"first_name": "CINDY",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "22510000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Center, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.