Active NPI
Marilia Gabriela Bertini, PT
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1407558034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303888
- Practice address
- 1251 E Dyer Rd Ste 150
Santa Ana, CA 92705-5662 - Phone
- (949) 333-6411
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 303888 | CA | Primary |
Addresses
Primary practice location
1251 E Dyer Rd Ste 150
Santa Ana, CA 92705-5662
Mailing address
19 Front Row
Aliso Viejo, CA 92656-2811
Phone (949) 870-0310
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303888 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1407558034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FRONT ROW",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562811",
"telephone_number": "949-870-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 E DYER RD STE 150",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055662",
"telephone_number": "949-333-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTINI",
"first_name": "MARILIA GABRIELA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.