Active NPI
Clare Marie Sivero, DPT
- Physical Therapist
- Rancho Santa Margarita, CA
National Provider Identifier
1447594197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39201
- Practice address
- 30252 Tomas Ste 100
Rancho Santa Margarita, CA 92688-2181 - Phone
- (949) 459-1658
- Fax
- (949) 459-1667
- NPI assigned
- Nov 19, 2012
- 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 | PT39201 | CA | Primary |
Addresses
Primary practice location
30252 Tomas Ste 100
Rancho Santa Margarita, CA 92688-2181
Mailing address
30252 Tomas Ste 100
Rancho Santa Margarita, CA 92688-2181
Phone (949) 459-1658
Other names 1
- Ms. Clare Marie Nagle
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 |
|---|---|---|---|
| PT39201 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Fitness Sports Therapy | Physical Therapist | Current | Accepting new patients |
| Rainbow Kids Achievement Center | Past | Accepting new patients |
Locations
2180 Westwood Blvd
Ste 1D
Los Angeles, CA 90025
Phone (310) 470-0442
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1235238890
-
- Pediatric Occupational Therapist
- Rancho Santa Margarita, CA
- NPI 1043465487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1447594197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30252 TOMAS STE 100",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882181",
"telephone_number": "949-459-1658",
"fax_number": "949-459-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30252 TOMAS STE 100",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882181",
"telephone_number": "949-459-1658",
"fax_number": "949-459-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVERO",
"first_name": "CLARE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT39201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARE",
"last_name": "NAGLE",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.