Active NPI
Marilyn Lenhert Mathre, P.T.
- Physical Therapist
- City of Industry, CA
National Provider Identifier
1447323324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7612
- Practice address
- 17487 Hurley St
City of Industry, CA 91744-5106 - Phone
- (626) 935-7723
- Fax
- (626) 912-1696
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- 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 | PT7612 | CA | Primary |
Addresses
Primary practice location
17487 Hurley St
City of Industry, CA 91744-5106
Mailing address
239 Revere St
Upland, CA 91784-1364
Phone (909) 982-0705
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7612 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pollock Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447323324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 REVERE ST",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841364",
"telephone_number": "909-982-0705",
"fax_number": "909-982-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17487 HURLEY ST",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917445106",
"telephone_number": "626-935-7723",
"fax_number": "626-912-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHRE",
"first_name": "MARILYN",
"middle_name": "LENHERT",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT7612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.