Mario Mier Alcantara, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26309 Issued in CA

Practice address

3902 Katella Ave
Los Alamitos, CA 90720-3304

Phone

(562) 596-5561

NPI assigned

Aug 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Movement Medicine Physical Therapy and Wellness IncGroup PAC ID 8729471222, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Movement Medicine Physical Therapy and Wellness Inc

  • Physical Therapist
  • Lakewood, CA
  • NPI 1457970493
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1417237587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 PEPPERWOOD AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121142",
            "telephone_number": "562-804-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203304",
            "telephone_number": "562-596-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "MARIO",
        "middle_name": "MIER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alamitos Podiatry Group
• Alamitos Reagan Anesthesia Corporation
• Alamitos Renal Medical Group Inc
• Alban Wertheimer Orthopaedic Group
• Joseph B Alban, M.D.
• Alexander E Loscialpo MD Inc
• Alexandra a Chrysanthis M D Inc
• Ali Alex Fouladi MD Inc
• Melis Alkin
• Atabak Allaei, M.D.

• Physical Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.